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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDarlene Gaynor Krupnick
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    Darlene Gaynor Krupnick — Billing Profile & Reimbursement Data

    NPI 1629097803 · Wynnewood, PA · Urology Physician

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    Darlene Gaynor Krupnick is a urology physician provider located in Wynnewood, Pennsylvania. This profile covers 24 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
    OrganizationDarlene Gaynor Krupnick
    Address100 E Lancaster Ave Ste 361
    CityWynnewood
    StatePA
    ZIP19096
    TaxonomyUrology Physician
    NPI EnumeratedJuly 19, 2006

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

    Payer SourceTotal Paid
    Medicare$217.6K
    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.

    24 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…590$100$58.6K
    J0585Injection, onabotulinumtoxina, 1 unit5,700$10$28.5K
    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…180$130$23.4K
    64561The provider, under imaging guidance, implants electrodes around nerves in the sacral region to reduce the pain along the path of the nerve.50$330$15.9K
    57288The provider places a sling made of fascia or synthetic material under the urethra to support it in the correct position to treat urinary stress incontinence. The procedure can be performed…20$590$13.5K
    51729In this procedure, the provider performs a complex cystometrogram along with voiding pressure studies and urethral pressure profile studies to diagnose certain urinary disorders like an overactive…30$330$10.4K
    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…70$140$10.4K
    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…140$70$9.1K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…140$50$7.4K
    52287The provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystoscope. He then inserts a needle and injects a neurolytic drug into the…50$130$6K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6456142030$2,350$75.1K
    6459032010$3,280$55.7K
    J0585941407,600$1$47.7K
    992141,21223,230100$80$14.5K
    5200017140070$140$13.9K
    5222472020$610$13.4K
    99490291510170$40$12.6K
    52287156020$330$11.1K
    51729204030$260$9.9K
    57288113020$440$9.6K

    Showing 1–10 of 24

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Zhiming YangPAAnatomic Pathology Physician$4.5M$0
    Michael NagarPAAnatomic Pathology & Clinical Pathology Physician$3.8M$0
    Ari IsaacsonNCVascular & Interventional Radiology Physician$2.8M$0
    Urology Health Surgery Center, LLCPAAmbulatory Surgical Clinic/Center$1.6M$0
    Michael LamboPARadiation Oncology Physician$1.1M$0
    Michael ShriverOHDiagnostic Radiology Physician$1.1M$0
    Nicos NicolaouPARadiation Oncology Physician$1M$0
    Martin HightowerPARadiation Oncology Physician$961.4K$0
    Denise NajjarPANeuropathology Physician$856.4K$1.8K
    Stephen ArrigoPARadiation Oncology Physician$780.9K$0

    Nearby Providers

    Other providers in the same ZIP code as Darlene Gaynor Krupnick, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Main Line Hospitals, Inc.PAGeneral Acute Care Hospital$0$17.2M
    Red Lion Home CarePAHome Health Agency$0$17.2M
    Amber SobutoPAInternal Medicine Physician$1.2M$0
    Matthew HalpernPADermatology Physician$1.2M$0
    Gary GordonPARheumatology Physician$873.9K$0
    Tanya HarariPARheumatology Physician$659.8K$0
    Thomas HarderPARheumatology Physician$603.7K$0
    Amanulla KhajiPAHospitalist Physician$528.3K$4.6K
    Stephen GollompPANeurology Physician$465.4K$0
    George MartinPAAllergy & Immunology Physician$456.5K$0

    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
    Darlene Gaynor Krupnick — 1 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania