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    OpenPayerNPI Medicare & MedicaidJohn Souza
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    John Souza — Billing Profile & Reimbursement Data

    NPI 1699718056 · Dublin, GA · Emergency Medicine Physician

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    John Souza is a emergency medicine physician provider located in Dublin, Georgia. This profile covers 25 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
    OrganizationJohn Souza
    Address1022 Hillcrest Pkwy Ste 104
    CityDublin
    StateGA
    ZIP31021
    TaxonomyEmergency Medicine Physician
    NPI EnumeratedJune 14, 2006

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

    Payer SourceTotal Paid
    Medicare$162K
    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.

    25 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…600$90$51.4K
    99204The provider sees a new 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 provider…350$110$38.4K
    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…500$60$29.1K
    87426The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…320$30$11K
    87804The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.610$20$9.7K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…690$10$6.2K
    99203The provider sees a new 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 provider…80$70$5.9K
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…140$20$2.7K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.200$10$1.6K
    87880The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.60$20$980

    Showing 1–10 of 25

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    25 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141,12513,640120$80$17.8K
    9921383413,36080$60$9.2K
    9920477,26030$110$5.1K
    992038295,35030$70$3.3K
    364159923,010100$10$3.2K
    6921024434040$30$2.1K
    992122,3462,72030$40$2.1K
    87426580030$30$1.7K
    7363089593040$20$1.5K
    7356260783040$20$1.4K

    Showing 1–10 of 25

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Erx Group, LLCGAEmergency Medicine Physician$0$744.4K
    Robert CollinsGACardiovascular Disease Physician$530.4K$0
    Navid ZenoozCADiagnostic Radiology Physician$447.5K$41.1K
    Rhonda WilliamsGAInternal Medicine Physician$322.5K$0
    Raul ParaliticciGADiagnostic Radiology Physician$315.2K$0
    William HancockGACardiovascular Disease Physician$256.7K$0
    Leonel VasquezVADiagnostic Radiology Physician$244.7K$0
    Henry JonesINDiagnostic Radiology Physician$209.9K$290
    Michael KhaliliFLDiagnostic Radiology Physician$185.4K$22.4K
    Saurabh RohatgiMADiagnostic Radiology Physician$186.9K$500

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Harsha VyasGAHematology & Oncology Physician$1.5M$0
    Dublin Ear Nose And Throat Associates, P.C.GAOtolaryngology Physician$0$1.2M
    County Of Laurens Board Of CommissionersGALand Ambulance$650.1K$0
    Air Evac Ems Inc.GAAir Ambulance$567.9K$0
    Jason ArnoldGADermatology Physician$501.5K$0
    Air Evac Ems, Inc.GAAir Ambulance$496K$0
    Michael SharkeyGADermatology Physician$447K$0
    Zhiqiang ZhangGANephrology Physician$425.3K$0
    Middle Georgia Anesthesia Associates, PCGAPain Medicine (Anesthesiology) Physician$0$352.1K
    Dustin GayGAOrthopaedic Surgery Physician$306.3K$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. Georgia Distribution
    John Souza — 4 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia