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NPI 1619953247 · Gardner, MA · Family Medicine Physician
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Tricia Vorderstrasse is a family medicine physician provider located in Gardner, Massachusetts. This profile covers 38 Medicare and 14 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 | Tricia Vorderstrasse |
| Address | 725 Timpany Blvd |
| City | Gardner |
| State | MA |
| ZIP | 01440 |
| Taxonomy | Family Medicine Physician |
| NPI Enumerated | December 15, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $256.7K |
| Medicaid | $217.4K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
38 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… | 1,090 | $100 | $104.7K |
| 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… | 400 | $70 | $27.1K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 180 | $140 | $24.7K |
| 99308 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider… | 250 | $60 | $14.5K |
| 91322 | This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 50 mcg/0.5 mL. | 100 | $130 | $12.8K |
| 90662 | This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection… | 150 | $70 | $10.7K |
| 99496 | The 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 | $9.6K |
| 99309 | The 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… | 80 | $90 | $7K |
| 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… | 20 | $280 | $5.9K |
| G0008 | Administration of influenza virus vaccine | 180 | $30 | $5.7K |
Showing 1–10 of 38
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 38 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
38 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99309 | 677 | 840 | 300 | $80 | $37.8K |
| 91322 | 401 | 650 | 150 | $140 | $29.1K |
| 99308 | 299 | 750 | 170 | $50 | $20.5K |
| 99214 | 145 | 15,410 | 110 | $80 | $15.6K |
| G0439 | 461 | 3,350 | 70 | $120 | $11.9K |
| 99305 | 148 | 240 | 50 | $100 | $10.2K |
| 90480 | 693 | 1,130 | 160 | $40 | $9.4K |
| 99213 | 1,079 | 13,700 | 70 | $60 | $8.8K |
| 80061 | 137 | 720 | 80 | $10 | $8.1K |
| 90677 | 882 | 1,810 | 20 | $280 | $7.7K |
Showing 1–10 of 38
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
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Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
14 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 2,350 | $60 | $131.5K |
| 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… | 930 | $80 | $69.4K |
| 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. | 610 | $10 | $6.1K |
| 90460 | In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age. | 90 | $30 | $2.8K |
| 96110 | The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate… | 160 | $10 | $1.6K |
| 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… | 70 | $20 | $1.5K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 140 | $10 | $1.3K |
| 90471 | In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route. | 60 | $20 | $1.1K |
| 99396 | The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64. | 10 | $70 | $850 |
| 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… | 10 | $40 | $490 |
Showing 1–10 of 14
How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Massachusetts median
14 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 1,306 | 5,040 | 200 | $70 | $209.5K |
| 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… | 816 | 5,300 | 230 | $60 | $164.5K |
| 99396 | The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64. | 262 | 300 | 90 | $70 | $64.7K |
| 90460 | In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age. | 708 | 1,020 | 300 | $20 | $38.8K |
| 96110 | The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate… | 641 | 1,140 | 250 | $20 | $36.2K |
| 87426 | The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,… | 195 | 220 | 150 | $30 | $28.3K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 654 | 990 | 420 | $10 | $17.8K |
| 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… | 284 | 440 | 150 | $20 | $16.3K |
| 90471 | In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route. | 716 | 1,190 | 90 | $10 | $16K |
| 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. | 154 | 250 | 110 | $20 | $15.9K |
Showing 1–10 of 14
Other providers in the same ZIP code as Tricia Vorderstrasse, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Massachusetts Correctional Industries | MA | Eyewear Supplier | $0 | $52.8M |
| Gaamha, Inc | MA | Non-emergency Medical Transport (VAN) | $0 | $11.8M |
| Community Health Connections, Inc. | MA | Federally Qualified Health Center (FQHC) | $0 | $9M |
| Wood's Ambulance Inc. | MA | Ambulance | $1.1M | $4.8M |
| Cataract Laser Centercentral LLC | MA | Ophthalmologic Surgery Clinic/Center | $1.6M | $489.7K |
| Shields Imaging At Heywood Healthcare LLC | MA | Magnetic Resonance Imaging (MRI) Clinic/Center | $115.6K | $194K |
| Victor Zota | MA | Anatomic Pathology & Clinical Pathology Physician | $101.3K | $59.1K |
| Jared Toman | MA | Orthopaedic Surgery Physician | $63.7K | $48.1K |
| Chair City Pharmacy, LLC | MA | Community/Retail Pharmacy | $76.9K | $70 |
| Benjamin Fakharzadeh | MA | Diagnostic Radiology Physician | $64K | $4.3K |
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