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    OpenPayerNPI Medicare & MedicaidKarla Christo
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    Karla Christo — Billing Profile & Reimbursement Data

    NPI 1689864167 · Fitchburg, MA · Family Medicine Physician

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    Karla Christo is a family medicine physician provider located in Fitchburg, Massachusetts. This profile covers 13 Medicare and 8 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
    OrganizationKarla Christo
    Address155 Franklin Road
    CityFitchburg
    StateMA
    ZIP01420
    TaxonomyFamily Medicine Physician
    NPI EnumeratedJuly 31, 2007

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

    Payer SourceTotal Paid
    Medicaid$182.6K
    Medicare$37K

    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.

    13 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…500$40$20.6K
    90670This code represents a pneumococcal vaccine product administered into the muscle to protect against 13 types of pneumococcal bacteria that can cause serious infections like pneumonia, meningitis, and…10$250$3.3K
    99443N/A20$80$1.8K
    99497The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…70$30$1.8K
    G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit20$70$1.5K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…30$40$1.5K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit60$20$1.4K
    G0008Administration of influenza virus vaccine40$30$1.4K
    99442N/A30$50$1.3K
    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…50$20$990

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141,18015,410110$80$15.6K
    G04391,8893,35070$120$11.9K
    992153,6176,36040$120$8.9K
    992138,70813,70070$60$8.8K
    9949719969040$70$4.1K
    9067061020$250$3.9K
    G043817655020$160$3.8K
    994431,0861,96030$80$3.8K
    G00081,8443,49040$30$3.5K
    994425321,20020$60$2.6K

    Showing 1–10 of 13

    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.

    8 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…2,180$70$161.1K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.250$50$11.9K
    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…110$60$6.3K
    G0480Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…40$60$2.3K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.40$10$530
    90688This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose.20$20$420
    81025The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.20$10$110
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…10$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Massachusetts median

    8 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.226370500$40$605.1K
    G0480Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…163200450$30$511.5K
    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…7585,040200$70$209.5K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…603670120$100$169.2K
    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…3,2905,300230$60$164.5K
    81025The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.322360280$10$20.1K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.7841,19090$10$16K
    90688This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose.25135040$10$4.9K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Umass Memorial Medical Group IncMAInternal Medicine Physician$0$98.5M
    Umass Memorial Mri & Imaging Center, LLCMAMagnetic Resonance Imaging (MRI) Clinic/Center$3.8M$8.1M
    Stephen LyleMAAnatomic Pathology Physician$852.2K$40.3K
    Srini VasanOHRadiation Oncology Physician$807K$0
    Karen Jeng-millerMAOphthalmology Physician$698.7K$0
    Seema SahibMAInternal Medicine Physician$635.4K$7.5K
    Andrew BouleyMANeurology Physician$602.8K$0
    Jeffrey PotterMADiagnostic Radiology Physician$355.4K$201.1K
    Vivek SehgalNJDiagnostic Radiology Physician$281.4K$265.1K
    David GeistMAMOHS-Micrographic Surgery Physician$516.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Commonwealth Of MassachusettsMACase Management Agency$0$352.1M
    Community Health Connections, Inc.MAFederally Qualified Health Center (FQHC)$0$31.7M
    The Arc Of Opportunity In No. Central Mass., Inc.MAFoster Care Agency$0$14.6M
    Department Of Mental HealthMACase Management Agency$0$9.9M
    Active Life Health Care Management, LLCMAAdult Day Care Clinic/Center$0$8.4M
    Arc Community Services, Inc.MADevelopmentally Disabled Services Day Training Agency$0$8.2M
    Luk Crisis Center Inc.MACommunity/Behavioral Health Agency$0$7.5M
    Ick -assurance Home Health Care. Inc.MAHome Health Agency$0$6.7M
    Hannah YaminMAHematology & Oncology Physician$1.1M$0
    Umass Memorial Mri & Imaging Center, LLCMAMobile Radiology Clinic/Center$394.2K$297.6K

    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. Massachusetts Distribution
    Karla Christo — 0 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts
    Medicaid Revenue by Year vs. Massachusetts Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Massachusetts Distribution
    Karla Christo — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts