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NPI 1568691954 · North East, PA · Family Medicine Physician
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Danielle Mehlenbacher is a family medicine physician provider located in North East, Pennsylvania. This profile covers 13 Medicare and 18 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Danielle Mehlenbacher |
| Address | 2060 N Pearl St |
| City | North East |
| State | PA |
| ZIP | 16428 |
| Taxonomy | Family Medicine Physician |
| NPI Enumerated | July 7, 2009 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $202.5K |
| Medicare | $74.8K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
13 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The 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… | 440 | $80 | $34.9K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 100 | $130 | $12.8K |
| 90677 | This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the… | 30 | $260 | $7.4K |
| 90739 | This code represents an adult–dosage vaccine product administered intramuscularly to protect against the liver disease hepatitis B. The product has a synthetic DNA called CpG added to improve the… | 40 | $150 | $5.7K |
| 99213 | The 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… | 50 | $60 | $3.2K |
| G0008 | Administration of influenza virus vaccine | 100 | $30 | $2.8K |
| 90682 | This code represents a quadrivalent flu vaccine given by injection into the muscle. The vaccine is made using recombinant DNA technology and contains only a protein from the virus. It does not… | 70 | $40 | $2.8K |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 10 | $160 | $2.3K |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review… | 20 | $40 | $920 |
| G0009 | Administration of pneumococcal vaccine | 30 | $30 | $780 |
Showing 1–10 of 13
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
13 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 2,336 | 23,230 | 100 | $80 | $14.5K |
| G0439 | 1,627 | 5,250 | 60 | $110 | $9.5K |
| 99213 | 12,944 | 22,370 | 70 | $60 | $7.7K |
| 90677 | 735 | 2,940 | 20 | $280 | $7.2K |
| 90739 | 5 | 10 | 40 | $160 | $6.1K |
| G0438 | 684 | 1,020 | 20 | $130 | $3.1K |
| G0008 | 1,938 | 6,670 | 50 | $30 | $2.4K |
| 90682 | 78 | 680 | 30 | $60 | $2K |
| G0180 | 301 | 850 | 20 | $40 | $1K |
| G0009 | 895 | 3,150 | 20 | $30 | $740 |
Showing 1–10 of 13
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
18 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The 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… | 2,190 | $60 | $127.1K |
| 99213 | The 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… | 1,650 | $40 | $61.2K |
| 99393 | The provider performs an established well–patient visit for a child who is between the ages of 5 and 11. | 60 | $80 | $4.9K |
| 99394 | The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17. | 50 | $80 | $3.9K |
| 92551 | The provider delivers a limited series of tones or sounds to a patient to determine if the patient’s hearing is in an acceptable range to detect hearing problems. | 280 | $10 | $1.4K |
| 99392 | Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby… | 20 | $70 | $1.3K |
| G0008 | Administration of influenza virus vaccine | 60 | $10 | $680 |
| 99173 | The provider checks the eyesight in both eyes of a pediatric patient by asking him to read letters of varying sizes on a standard chart, such as a Snellen’s chart, which he keeps 20 feet away from… | 260 | $1 | $520 |
| 90682 | This code represents a quadrivalent flu vaccine given by injection into the muscle. The vaccine is made using recombinant DNA technology and contains only a protein from the virus. It does not… | 20 | $30 | $480 |
| 83655 | The lab analyst performs a test to measure the amount of lead in the patient specimen. A typical aim of the test is to check for lead exposure. | 50 | $10 | $460 |
Showing 1–10 of 18
How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Pennsylvania median
18 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99392 | Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby… | 720 | 820 | 230 | $80 | $71.7K |
| 99214 | The 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… | 927 | 8,160 | 210 | $60 | $68.4K |
| 99213 | The 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… | 1,392 | 8,870 | 240 | $40 | $56.1K |
| 99393 | The provider performs an established well–patient visit for a child who is between the ages of 5 and 11. | 591 | 870 | 160 | $70 | $48.2K |
| 99394 | The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17. | 448 | 730 | 90 | $70 | $31.5K |
| 83655 | The lab analyst performs a test to measure the amount of lead in the patient specimen. A typical aim of the test is to check for lead exposure. | 236 | 370 | 100 | $10 | $7.6K |
| 96127 | The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment. | 616 | 940 | 130 | $10 | $6.2K |
| 92551 | The provider delivers a limited series of tones or sounds to a patient to determine if the patient’s hearing is in an acceptable range to detect hearing problems. | 401 | 970 | 160 | $10 | $5K |
| 87880 | The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab. | 708 | 1,040 | 120 | $10 | $3.9K |
| 99173 | The provider checks the eyesight in both eyes of a pediatric patient by asking him to read letters of varying sizes on a standard chart, such as a Snellen’s chart, which he keeps 20 feet away from… | 391 | 1,010 | 140 | $1 | $2.2K |
Showing 1–10 of 18
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