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 & MedicaidFrederick Bagares
    Ask Trek AI about this page

    Frederick Bagares — Billing Profile & Reimbursement Data

    NPI 1588942155 · Virginia Beach, VA · Sports Medicine (Physical Medicine & Rehabilitation) Physician

    Customize your policy alerts

    Sign up for Frederick Bagares — 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.

    Frederick Bagares is a sports medicine (physical medicine & rehabilitation) physician provider located in Virginia Beach, Virginia. This profile covers 15 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
    OrganizationFrederick Bagares
    Address4176 S Plaza Trl Ste 218
    CityVirginia Beach
    StateVA
    ZIP23452
    TaxonomySports Medicine (Physical Medicine & Rehabilitation) Physician
    NPI EnumeratedJuly 29, 2011

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

    Payer SourceTotal Paid
    Medicare$101.7K
    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.

    15 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…210$100$19.9K
    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…320$60$19.8K
    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…130$120$15.7K
    95886The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…160$80$12.5K
    20611In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…80$80$6.2K
    95908In this procedure, the provider performs three or four nerve conduction studies, a diagnostic test to evaluate the function, especially the ability of electrical conduction of the motor and sensory…70$90$5.7K
    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…50$80$3.9K
    95910In this procedure, the provider performs seven or eight nerve conduction studies, a diagnostic test to evaluate the function, especially the electrical conduction ability of the motor and sensory…30$130$3.8K
    64483This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).40$100$3.6K
    64493The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…30$90$2.5K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6448312017080$210$31.4K
    992144,95612,890140$80$21K
    6449312514070$170$16.8K
    206119223060$70$10.5K
    992131,78612,44090$60$10K
    958864116080$70$9.7K
    992153,6394,03040$120$9.5K
    6449412314070$90$8K
    959105111030$120$5.9K
    992044756,85040$110$5.9K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kristi MizelleVARheumatology Physician$1.5M$0
    Ivan Marchena- MendezPARheumatology Physician$1M$0
    Michael GenVAInterventional Cardiology Physician$705.1K$0
    Aleisha JohnsonVADiagnostic Radiology Physician$626.6K$0
    Pranav ParikhVAInternal Medicine Physician$579K$0
    Jeffrey VandesandVADiagnostic Radiology Physician$550.4K$0
    Matthew DohertyVADiagnostic Ultrasound Physician$540.2K$0
    Stephen CummingsVAOrthopaedic Surgery Physician$493.5K$0
    Mrugesh SoniVAInterventional Cardiology Physician$435.3K$0
    Jacob AlmeidaVAGeriatric Medicine (Internal Medicine) Physician$424K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Support Services Of Virginia, Inc.VADevelopmentally Disabled Services Day Training Agency$0$76.1M
    Crescent Counseling & Casework Services Inc.VACommunity/Behavioral Health Agency$0$25.3M
    Hope Care & Love Home Healthcare Services LLCVAHome Health Agency$0$19M
    Rehabilitation Associates IncVAPediatric Physical Therapist$0$18.2M
    Family First Home Healthcare ,LLCVAHome Health Agency$0$17.4M
    Seven Summits Family Services, LLCVACommunity/Behavioral Health Agency$0$9.9M
    Circle Of Life, LLCVAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$9.3M
    Right Path Treatment Center LLCVAAddiction Medicine (Internal Medicine) Physician$0$9M
    Reign Integrated ServicesVABehavior Analyst$0$8.3M
    C & R Divine Hands Of CareVAHome Health Agency$0$8.1M

    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
    Frederick Bagares — 1 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia