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    v1.0.28
    OpenPayerNPI Medicare & MedicaidTeresa Duran
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    Teresa Duran — Billing Profile & Reimbursement Data

    NPI 1639350036 · Austin, TX · Anatomic Pathology Physician

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    Teresa Duran is a anatomic pathology physician provider located in Austin, Texas. This profile covers 62 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
    OrganizationTeresa Duran
    Address3445 Executive Center Dr
    CityAustin
    StateTX
    ZIP78731
    TaxonomyAnatomic Pathology Physician
    NPI EnumeratedNovember 14, 2007

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

    Payer SourceTotal Paid
    Medicare$772.1K
    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.

    62 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.10,110$10$131.4K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.10,440$10$104.4K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…6,410$20$102.5K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…9,150$10$73.2K
    82306The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…2,310$30$67.1K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…5,180$10$46.6K
    84439The lab analyst performs a test to measure free thyroxine, or free T4, typically in patient serum.2,980$10$26.8K
    82043The lab analyst quantitates a timed or random urine specimen for the measurement of albumin. Random means the specimen collection may occur without respect to the time of day. This is a valuable…3,350$10$20.1K
    80048The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…2,300$10$18.4K
    84153The lab analyst performs testing for total prostate specific antigen, PSA, typically on serum or plasma samples using laboratory analyzers. PSA is a protein the prostate gland produces, and…900$20$16.1K

    Showing 1–10 of 62

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 62 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    62 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    883055231,120400$40$51.6K
    80074213050$50$19.4K
    82306181,01050$30$15.8K
    G0472156020$40$13.4K
    84443131,69070$20$12.9K
    87389163030$20$12.7K
    8006181,79090$10$11.6K
    80069239050$10$11.1K
    80053132,650130$10$10.6K
    867081620110$10$10.2K

    Showing 1–10 of 62

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bhs Physicians Network, IncTXFamily Medicine Physician$0$32.1M
    Samuel JurcaIDFamily Medicine Physician$24M$0
    Richard LaneTXRetina Specialist (Ophthalmology) Physician$4.8M$0
    Thomas OeiTXRetina Specialist (Ophthalmology) Physician$4.3M$0
    Ronald DrenglerTXMedical Oncology Physician$3.8M$0
    Jose MartinezTXOphthalmology Physician$3.8M$0
    Jeremiah BrownTXRetina Specialist (Ophthalmology) Physician$3.7M$0
    Sarah HolyTXRetina Specialist (Ophthalmology) Physician$3.5M$0
    Richard KinseyTNAnatomic Pathology & Clinical Pathology Physician$3.3M$147.3K
    Robert ZajacTXInfectious Disease Physician$3.1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Girling Health Care, Inc.TXHome Health Agency$0$855.7M
    Epic Health Services, Inc.TXHome Health Agency$0$34.3M
    Misty WittenTXFamily Nurse Practitioner$1.5M$0
    Texan Ambulatory Surgery Center, LPTXAmbulatory Surgical Clinic/Center$1.5M$10.3K
    Jeffrey YorioTXHematology & Oncology Physician$1.1M$0
    Michael LattanziTXHematology & Oncology Physician$1.1M$0
    Jane ChawlaTXHematology & Oncology Physician$972.9K$0
    Carl NueschTXRadiation Oncology Physician$876.9K$0
    Anurekha ChadhaTXRheumatology Physician$863.1K$0
    Kathryn HudsonTXHematology & Oncology Physician$805.7K$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. Texas Distribution
    Teresa Duran — 16 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas