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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJulie Prosseda
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    Julie Prosseda — Billing Profile & Reimbursement Data

    NPI 1538168208 · Wilmington, DE · Family Medicine Physician

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    Julie Prosseda is a family medicine physician provider located in Wilmington, Delaware. This profile covers 18 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
    OrganizationJulie Prosseda
    Address5311 Limestone Rd Ste 201
    CityWilmington
    StateDE
    ZIP19808
    TaxonomyFamily Medicine Physician
    NPI EnumeratedJuly 15, 2005

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

    Payer SourceTotal Paid
    Medicare$223K
    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit540$130$69.2K
    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…820$80$69K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…790$50$36.3K
    99439The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…260$40$9.5K
    99496The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…40$220$8.8K
    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…110$60$6.8K
    G0402Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment40$160$6.6K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…50$140$6.2K
    G0444Annual depression screening, 5 to 15 minutes340$20$6K
    G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit10$160$1.8K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141661,830150$80$25.5K
    G04391349090$120$17.2K
    994901380140$50$17K
    992139151,810120$60$13.6K
    9921527557040$120$11K
    994391040110$40$7.3K
    994962111020$200$5.8K
    G0438889020$150$4.8K
    G0402411020$160$3.1K
    9921233948030$40$3.1K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sarah MullinsDEFamily Medicine Physician$193K$0
    Stoney Batter Family Medicine Associates, P.A.DEFamily Medicine Physician$0$183.5K
    Bipasha MitraDEFamily Medicine Physician$152.5K$0
    Robert CallahanDEFamily Medicine Physician$127.3K$0
    Scott SchaefferDEGeneral Practice Physician$125.4K$0
    Katy CroweDEFamily Medicine Physician$104.2K$0
    Carolyn BarrettDEFamily Nurse Practitioner$52.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    State Of DelawareDELocal Education Agency (LEA)$0$9.2M
    Jp Nacchia & Associates, Inc.DEIn Home Supportive Care Agency$0$8.2M
    Macklyn Home CareDEHome Health Agency$0$6.2M
    Journeys LLCDEMental Health Counselor$0$5M
    Resouces For Human Development, Inc.DEMental Health Clinic/Center (Including Community Mental Health Center)$0$4.3M
    Robert M Collins Dds PADEPediatric Dentistry$0$3.2M
    Regional Orthopaedic Associates PADEOrthopaedic Surgery Physician$0$2.8M
    Rockland Surgery Center, L.P.DEAnesthesiology Physician$2.4M$280K
    Limestone Medical Center, LLCDEAmbulatory Surgical Clinic/Center$2.3M$242.7K
    Pace, Inc.DEAdult Mental Health Clinic/Center$0$2.3M

    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. Delaware Distribution
    Julie Prosseda — 2 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware