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 & MedicaidDimiter Orahovats
    Ask Trek AI about this page

    Dimiter Orahovats — Billing Profile & Reimbursement Data

    NPI 1669455622 · Cheyenne, WY · Internal Medicine Physician

    Customize your policy alerts

    Sign up for Dimiter Orahovats — 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.

    Dimiter Orahovats is a internal medicine physician provider located in Cheyenne, Wyoming. This profile covers 47 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 / 9

    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
    OrganizationDimiter Orahovats
    Address5050 Powderhouse Rd
    CityCheyenne
    StateWY
    ZIP82009
    TaxonomyInternal Medicine Physician
    NPI EnumeratedNovember 23, 2005

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

    Payer SourceTotal Paid
    Medicare$277.1K
    Medicaid$0

    Key Findings

    This provider has an effectively single‑payer Medicare practice profile: total Medicare revenue is $277.1K and there is no Medicaid billing on file. The absence of Medicaid activity means the provider’s revenue and utilization patterns are driven entirely by Medicare beneficiaries and related Medicare-covered services.

    Revenue is highly concentrated in a few outpatient evaluation and management and preventive‑care codes: the top three Medicare codes by revenue account for 48.2% of this provider's total Medicare revenue, led by 99214 ($65.8K, 24.6% of total), G0439 ($37.5K, 14.0%), and 99213 ($25.6K, 9.6%). This concentration indicates a business model centered on established patient office visits and annual wellness/prevention services.

    The code mix and volumes point to a classic internal medicine/primary care operation that pairs E/M visits with in‑office vaccinations and injectables. High counts for vaccination and injection codes — J0897 (1.4K claims, $24.8K, 9.3%), 90677 (80 claims, $22.6K, 8.4%), and 90662 (212 claims, $15.3K, 5.7%) — show routine immunization and specialty injectable therapy are meaningful service lines alongside office visits.

    On competitive standing, the provider is a high‑volume performer nationally for core visit and prevention codes: 99214 ranks #22761 of 479517 providers nationally (95th percentile; notably above typical national volume) and G0439 ranks #4676 of 105855 providers nationally (96th percentile; notably above typical national volume). By contrast, some high‑volume procedure codes sit at more typical or lower national positions — for example, J0897 ranks #7798 of 10057 (21th percentile; typical, unremarkable volume) — suggesting strength in primary care visit volume but not dominance in injectable specialty services.

    Ancillary and point‑of‑care lab activity supports an office‑based chronic disease management workflow: 36415 (blood draw) shows 1.2K claims and $8.7K (rank #2065 of 86467, 98th percentile), 84443 (TSH) is 609 claims and $9.7K (rank #1079 of 19722, 95th percentile), and 80053 (CMP) is 846 claims and $8.5K (rank #1912 of 26416, 93th percentile). These high percentiles for routine labs and phlebotomy indicate the practice performs frequent in‑office monitoring consistent with longitudinal primary care management.

    Clinical management and transitional care codes appear at modest levels but reflect engagement with post‑acute care coordination and anticoagulation monitoring: 99495 (care transition) has 15 claims ($2.5K) and ranks #10857 of 17150 (30th percentile), while INR/warfarin monitoring (93793) has 340 claims ($2.4K, 84th percentile) and prothrombin time 85610 has 447 claims ($1.8K, 93th percentile). These entries suggest some longitudinal chronic disease management and medication monitoring components to the practice mix.

    The provider’s tenure in the Medicare program is long: NPI enumerated on 2005-11-23 (~21 years ago), indicating an established presence in the market. Combined with the code mix — dominated by E/M, wellness visits, vaccines, phlebotomy and routine labs — the data describe a stable, office‑based internal medicine practice focused on outpatient preventive care and chronic disease follow‑up rather than high‑volume specialty procedural work.

    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.

    47 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…750$90$65.8K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit290$130$37.5K
    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…430$60$25.6K
    J0897Injection, denosumab, 1 mg1,380$20$24.8K
    90677This 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…80$280$22.6K
    90662This 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…210$70$15.3K
    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…610$20$9.7K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.1,240$10$8.7K
    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.850$10$8.5K
    G0008Administration of influenza virus vaccine220$30$6.7K

    Showing 1–10 of 47

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 47 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    47 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J089738501,800$20$51.1K
    9921430780100$80$14.8K
    91320376050$120$13.9K
    G04391217070$120$13.1K
    9921383850110$60$9.9K
    90677711020$280$8.9K
    906623014070$70$8.6K
    9921521922040$120$8.3K
    9048076110100$30$4K
    G00084821070$30$3.2K

    Showing 1–10 of 47

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Uch-mhsCOGeneral Acute Care Hospital$0$69M
    Poudre Valley Medical Group, LLCCOGeneral Practice Physician$0$14.9M
    Poudre Valley Medical Group, LLCCOGeneral Practice Physician$0$8M
    Fort Collins Radiologic Associates PCCODiagnostic Radiology Physician$0$6.4M
    Poudre Valley Medical Group, LLCCOUrgent Care Clinic/Center$0$6M
    Inder SinghCAInterventional Cardiology Physician$4.7M$0
    Jodie GallegosCOFamily Nurse Practitioner$2.8M$0
    Cedar Valley Pathologists PCIAClinical Pathology/Laboratory Medicine Physician$0$1.8M
    James LevineCORheumatology Physician$1.7M$0
    John WatkinsNDRadiation Oncology Physician$1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Children's Dentistry LLCWYPediatric Dentistry$0$8M
    Emg Cheyenne Sh LLCWYAssisted Living Facility$0$5.8M
    Liv In-home Counseling & Care Management, LLCWYPrimary Care Clinic/Center$0$5.7M
    Lucy RussellWYDevelopmentally Disabled Services Day Training Agency$0$5.4M
    Pediatric Dentistry LLCWYPediatric Dentistry$0$4.1M
    Bridges Of Wyoming, IncWYIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$2.2M
    Renee DreherWYClinical Social Worker$0$817.9K
    Breanna BarnesWYPediatric Dentistry$0$794.4K
    College Drive Urgent Care LLCWYUrgent Care Clinic/Center$0$770.4K
    Sandra SurbruggWYDermatology Physician$664.9K$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. Wyoming Distribution
    Dimiter Orahovats — 10 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wyoming