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    OpenPayerNPI Medicare & MedicaidDavid Zlotnicki
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    David Zlotnicki — Billing Profile & Reimbursement Data

    NPI 1689640872 · Clarion, PA · Family Medicine Physician

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    David Zlotnicki is a family medicine physician provider located in Clarion, Pennsylvania. This profile covers 9 Medicare and 12 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
    OrganizationDavid Zlotnicki
    Address22681 Route 68
    CityClarion
    StatePA
    ZIP16214
    TaxonomyFamily Medicine Physician
    NPI EnumeratedFebruary 27, 2006

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

    Payer SourceTotal Paid
    Medicaid$226.9K
    Medicare$47.2K

    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…450$60$24.5K
    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…160$80$13.2K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit30$130$3.7K
    90682This 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…50$40$2.1K
    G0008Administration of influenza virus vaccine70$30$1.9K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…20$40$780
    90674This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL…20$30$560
    G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review…10$40$480
    86580The lab analyst performs an intradermal skin test on a patient to test for tuberculosis.10$10$70

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992148,23823,230100$80$14.5K
    G04393,8475,25060$110$9.5K
    992131,22422,37070$60$7.7K
    G00082,7506,67050$30$2.4K
    992123,3214,72030$40$2.3K
    9068214168030$60$2K
    G018069485020$40$1K
    906748823020$30$730
    8658071010$10$120

    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…3,300$40$115.5K
    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…1,980$60$108.8K
    G0008Administration of influenza virus vaccine180$10$1.5K
    99394The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.30$40$1.2K
    90682This 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…30$30$890
    99173The 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…50$1$160
    92551The 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.40$1$160
    3061FThe microalbuminuria test is a urine test that measures the amount of albumin in a patient's urine. A negative test shows the absence of albumin in the urine. This shows that there is no kidney…160$0$0
    3078FNo Summary found for this code470$0$0
    3079FNo Summary found for this code70$0$0

    Showing 1–10 of 12

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Pennsylvania median

    12 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…1,0168,160210$60$68.4K
    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…7678,870240$40$56.1K
    99394The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.52073090$70$31.5K
    92551The 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.716970160$10$5K
    99173The 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…6821,010140$1$2.2K
    G0008Administration of influenza virus vaccine12370040$10$1.9K
    90682This 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…6319020$20$1.6K
    90674This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL…14623030$10$1.5K
    3079FNo Summary found for this code41186070$1$260
    3078FNo Summary found for this code3121,610100$1$230

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ashok MuthukrishnanFLNuclear Radiology Physician$3.9M$129.2K
    Anjaly CurleyAZDiagnostic Radiology Physician$1.7M$0
    Charles LukePAAnesthesiology Physician$59.3K$1.6M
    Eric DavidsonPAAnesthesiology Physician$12.2K$815.3K
    David WeberPASpecialist$292.8K$498.8K
    Raja ChakrapaniPAInternal Medicine Physician$226.7K$403.8K
    Balasubramanya RangaswamyOHDiagnostic Radiology Physician$549.5K$45.6K
    Nicholas SalaPAOphthalmology Physician$17.5K$549.2K
    Ashima LallPADiagnostic Radiology Physician$518.1K$41.5K
    Yihua ZhouMODiagnostic Radiology Physician$119.1K$387.3K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Albert BarrettPADiagnostic Radiology Physician$179.5K$185.4K
    Timothy ScottPAFoot & Ankle Surgery Podiatrist$86.2K$9.3K
    Justin RadakerPAPhysical Therapist$33.9K$0
    Darrell DatkoPAAnesthesiology Physician$23.6K$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
    David Zlotnicki — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania
    Medicaid Revenue by Year vs. Pennsylvania Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Pennsylvania Distribution
    David Zlotnicki — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania