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    v1.0.28
    OpenPayerNPI Medicare & MedicaidKaren Dmytrasz
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    Karen Dmytrasz — Billing Profile & Reimbursement Data

    NPI 1548494552 · Saco, ME · Family Medicine Physician

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    Karen Dmytrasz is a family medicine physician provider located in Saco, Maine. This profile covers 8 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
    OrganizationKaren Dmytrasz
    Address13 Industrial Park Road
    CitySaco
    StateME
    ZIP04072
    TaxonomyFamily Medicine Physician
    NPI EnumeratedMay 5, 2009

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

    Payer SourceTotal Paid
    Medicare$61.6K
    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…150$100$14.8K
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…190$80$14.5K
    99205The provider sees a new 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 provider…100$130$12.7K
    99310The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…70$110$7.8K
    99306The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…50$140$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…50$70$3.4K
    G2212Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary…40$20$830
    G0317Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary…30$20$700

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9930956140160$70$15.8K
    99310388060$100$10.8K
    99306255050$130$8.9K
    992141,5602,50070$70$7.2K
    992154778030$100$4.8K
    99205326020$140$4K
    G2212143040$20$1.4K
    G031781040$20$1.2K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    MainehealthMEMulti-Specialty Clinic/Center$0$10.9M
    Matthew DuganMEHematology & Oncology Physician$1.8M$0
    University Of New EnglandMEDentist$0$1.7M
    Devon EvansMEHematology & Oncology Physician$1.5M$0
    Youval KatzPAHematology & Oncology Physician$982.3K$0
    Mary RaleighCAFamily Medicine Physician$736K$0
    Philip RussellMEPsychiatry Physician$14.5K$720.3K
    Chiara BattelliMEHematology & Oncology Physician$301K$0
    Jamie CollardMEInternal Medicine Physician$238.7K$0
    Nathan WilsonMEInternal Medicine Physician$231.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    SweetserMEMental Illness Community Based Residential Treatment Facility$0$98.1M
    SweetserMEMental Health Clinic/Center (Including Community Mental Health Center)$0$80.6M
    Mainehealth Care At HomeMEHome Health Agency$0$11.3M
    Qaisi Homecare IncMEIn Home Supportive Care Agency$0$9.2M
    SweetserMECommunity/Behavioral Health Agency$0$8.1M
    Everest Recovery Centers - MaineMESubstance Use Disorder Rehabilitation Clinic/Center$147K$7.9M
    SweetserMESubstance Use Disorder Rehabilitation Clinic/Center$0$2.5M
    Saco School DepartmentMELocal Education Agency (LEA)$0$1.7M
    Island Institute For Trauma Recovery LLCMECommunity/Behavioral Health Agency$0$1.7M
    City Of SacoMEAmbulance$269.2K$1.3M

    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. Maine Distribution
    Karen Dmytrasz — 1 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maine