Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidBrenda Velasco
    Ask Trek AI about this page

    Brenda Velasco — Billing Profile & Reimbursement Data

    NPI 1548422405 · Philadelphia, PA · Gastroenterology Physician

    Customize your policy alerts

    Sign up for Brenda Velasco — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Brenda Velasco is a gastroenterology physician provider located in Philadelphia, Pennsylvania. This profile covers 20 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationBrenda Velasco
    Address3401 N Broad St
    CityPhiladelphia
    StatePA
    ZIP19140
    TaxonomyGastroenterology Physician
    NPI EnumeratedJuly 1, 2008

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

    Payer SourceTotal Paid
    Medicare$231.8K
    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J3380Injection, vedolizumab, intravenous, 1 mg8,100$20$137.7K
    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…170$100$16.5K
    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…150$70$9.8K
    J1439Injection, ferric carboxymaltose, 1 mg9,550$1$9.6K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…50$150$7.1K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…70$100$7.1K
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…30$220$5.7K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…40$150$5.5K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.70$80$5.5K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk20$200$3.9K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J33808405,550$20$130.4K
    J1439576027,000$1$36K
    4538564486050$290$24.3K
    96413236300140$100$19.8K
    992148,07223,230100$80$14.5K
    4538047284040$180$12.5K
    G010532050030$270$12.4K
    992333,2746,63070$90$12K
    4323936288050$130$9.6K
    992326,59010,87080$60$9.6K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Virtua Medical Group, PANJFamily Medicine Physician$0$48M
    Somc Medical Care Foundation, Inc.OHFamily Medicine Physician$0$25.3M
    Summit Surgical Center LLCNJAmbulatory Surgical Clinic/Center$484.7K$3.6M
    Steven BromleyNJNeurology Physician$2.9M$0
    Judith LightfootNJInfectious Disease Physician$647.5K$0
    Megdad ZaatrehNJNeurology Physician$582.2K$3.8K
    Jason PalermoNJCardiovascular Disease Physician$536.8K$0
    Darius SholevarNJClinical Cardiac Electrophysiology Physician$482.5K$0
    Ralph RussoNJNuclear Cardiology Physician$458K$0
    Heath SaltzmanNJClinical Cardiac Electrophysiology Physician$389.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Temple University Hospital, IncPAGeneral Acute Care Hospital$0$116.6M
    All American Home Care LLCPAHome Health Agency$0$45M
    Esperanza Health Center, Inc.PAFederally Qualified Health Center (FQHC)$0$40.8M
    Cognitive Behavioral Services, Inc.PACommunity/Behavioral Health Agency$0$20.8M
    Pan American Mental Health Services IncPAMental Health Clinic/Center (Including Community Mental Health Center)$0$20.1M
    Temple Faculty Practice Plan, IncPAEmergency Medicine Physician$0$18.4M
    Temple Faculty Practice Plan, IncPADiagnostic Radiology Physician$0$18M
    Paulino Home Healthcare LLCPAIn Home Supportive Care Agency$0$12.5M
    Gaudenzia IncPASubstance Use Disorder Rehabilitation Clinic/Center$0$8.5M
    Greater Philadelphia Health Action, Inc.PAFederally Qualified Health Center (FQHC)$0$5.5M

    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. Pennsylvania Distribution
    Brenda Velasco — 0 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania