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    OpenPayerNPI Medicare & MedicaidPeter Duros
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    Peter Duros — Billing Profile & Reimbursement Data

    NPI 1669498119 · Orem, UT · Internal Medicine Physician

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    Peter Duros is a internal medicine physician provider located in Orem, Utah. This profile covers 49 Medicare and 1 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)

    FieldValue
    Entity TypeIndividual
    OrganizationPeter Duros
    Address700 W 800 N Ste 400
    CityOrem
    StateUT
    ZIP84057
    TaxonomyInternal Medicine Physician
    NPI EnumeratedJuly 15, 2006

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

    Payer SourceTotal Paid
    Medicare$215K
    Medicaid$3.9K

    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.

    49 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…930$80$74.4K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit360$120$44.4K
    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…460$60$26.7K
    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…80$70$6K
    99496The 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…30$190$5.8K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.710$10$5.7K
    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…530$10$4.2K
    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…260$20$4.2K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.310$10$4.1K
    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…460$10$3.7K

    Showing 1–10 of 49

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 49 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    49 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    93306113120220$70$18.5K
    99214444,08080$80$11.6K
    G04391899060$120$10.8K
    99496166020$210$6.6K
    992131433,68060$50$6.4K
    9066213657040$70$4.8K
    992041,3301,79030$100$4.1K
    2061026643050$40$3.4K
    99495548020$140$3.3K
    823062714030$30$3.1K

    Showing 1–10 of 49

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 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…80$50$3.9K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Utah providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Utah median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…8661,340200$80$144K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Revere Health PCUTMulti-Specialty Clinic/Center$0$24M
    Joseph TeUTHematology & Oncology Physician$1.6M$0
    Brandt EsplinUTHematology & Oncology Physician$1.1M$0
    Jamison JonesUTCardiovascular Disease Physician$1M$0
    Steven WallentineUTHematology & Oncology Physician$1M$7.6K
    Robert DowseUTPediatrics Physician$0$867K
    David SladeUTOphthalmology Physician$651.1K$0
    Marc NuttallUTHematology & Oncology Physician$549.1K$580
    Leslee AdamsUTFamily Nurse Practitioner$513.4K$0
    David CragunUTCardiovascular Disease Physician$465.1K$940

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Home Health Specialists, LLCUTHome Health Agency$0$16.1M
    Timpanogos Regional Medical Services, Inc.UTGeneral Acute Care Hospital$0$7.8M
    Kids On The Move, Inc.UTDevelopmentally Disabled Services Day Training Agency$0$6.7M
    Papilion Integrated Recovery CentersUTSubstance Use Disorder Rehabilitation Clinic/Center$0$6.2M
    Chrysalis Utah, LLCUTIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$4.6M
    Kids On The Move, IncUTDevelopmentally Disabled Services Day Training Agency$0$4.4M
    Ihc Health Services, Inc.UTGeneral Acute Care Hospital$0$4.2M
    City Of Orem CorporationUTLand Ambulance$235.5K$3.1M
    Central Utah Surgicenter, LLCUTAmbulatory Surgical Clinic/Center$2.1M$28K
    Hautoa Enterprises LLCUTSubstance Abuse Rehabilitation Facility$49.8K$1.9M

    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. Utah Distribution
    Peter Duros — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah
    Medicaid Revenue by Year vs. Utah Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Utah Distribution
    Peter Duros — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah