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    OpenPayerNPI Medicare & MedicaidPhilip Zapanta
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    Philip Zapanta — Billing Profile & Reimbursement Data

    NPI 1528008026 · Danville, VA · Otolaryngology Physician

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    Philip Zapanta is a otolaryngology physician provider located in Danville, Virginia. This profile covers 9 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationPhilip Zapanta
    Address159 Executive Dr Ste C
    CityDanville
    StateVA
    ZIP24541
    TaxonomyOtolaryngology Physician
    NPI EnumeratedJune 7, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$46.1K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…200$90$18.6K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…100$110$11.2K
    31231In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.50$140$6.6K
    31575The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.40$100$3.8K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…40$70$2.3K
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…20$70$1.4K
    69210The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.30$30$890
    42975After the patient receives sedation and is asleep, the provider uses an endoscope to assess the throat and check the palate and tongue areas. The goal is to determine where airway obstruction is…10$70$880
    95117The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives 2 or more injections at a single visit.60$10$460

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992145,12312,890140$80$21K
    992139,38312,44090$60$10K
    312318017040$130$9.8K
    3157513721050$90$6.1K
    992049106,85040$110$5.9K
    95117152170300$10$5.7K
    992033,4464,92030$70$3.8K
    6921021041030$30$2.4K
    4297581020$70$1.4K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Philip Zapanta, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Danville Physician Practices LLCVAAnesthesiology Physician$0$13M
    Jong AnVAHematology & Oncology Physician$2.4M$0
    Kambiz ShamlouFLDiagnostic Radiology Physician$1.4M$0
    Thomas YuschokFLDiagnostic Radiology Physician$1.2M$0
    Ankit MadanMDHematology & Oncology Physician$1M$580
    Nathan LangerVAHematology & Oncology Physician$966.7K$0
    Keshavpal ReddyNCPsychiatry Physician$146.2K$617K
    Amanda AullsFLDiagnostic Radiology Physician$647.6K$0
    Ridgely MeyersCADiagnostic Radiology Physician$599.1K$2.4K

    Nearby Providers

    Other providers in the same ZIP code as Philip Zapanta, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Danville Regional Medical Center, LLCVARural Acute Care Hospital$0$65.1M
    Crossroads Treatment Center Of Danville, PCVASubstance Use Disorder Rehabilitation Clinic/Center$173.7K$18.6M
    L&g Support And Resources Co.VACommunity/Behavioral Health Agency$0$12M
    Team Nurse, Inc.VAPersonal Care Attendant$0$10.3M
    Calm Source, LLCVACommunity/Behavioral Health Agency$0$10.1M
    Royal Care IncorporatedVAHome Health Agency$0$9.8M
    Piedmont Access To Health Services, IncVAFederally Qualified Health Center (FQHC)$0$9.1M
    Prince Charles Home Healthcare Agency, LLCVAHome Health Agency$0$8.6M
    Team Nurse, Inc.VAPersonal Care Attendant$0$7.9M
    Virginia In-home Partner-xi, LLCVAHome Health Agency$0$7.7M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Virginia Distribution
    Philip Zapanta — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia