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    OpenPayerNPI Medicare & MedicaidEduardo Samaniego
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    Eduardo Samaniego — Billing Profile & Reimbursement Data

    NPI 1699930123 · Newark, NJ · Family Medicine Physician

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    Eduardo Samaniego is a family medicine physician provider located in Newark, New Jersey. This profile covers 36 Medicare and 20 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
    OrganizationEduardo Samaniego
    Address76 Prospect St
    CityNewark
    StateNJ
    ZIP07105
    TaxonomyFamily Medicine Physician
    NPI EnumeratedJuly 24, 2008

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

    Payer SourceTotal Paid
    Medicaid$201.2K
    Medicare$122.9K

    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.

    36 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…680$100$65.6K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit80$140$11.5K
    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$80$6.1K
    95250In this procedure, interstitial glucose levels are measured at regular intervals via subcutaneously implanted sensors provided by physician or other qualified health care professional's office for a…50$130$5.9K
    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…70$70$4.9K
    95816Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…10$360$4.3K
    95957In this procedure, the provider performs computer based analysis of an electroencephalogram, abbreviated as EEG.10$250$3K
    99442N/A30$80$2.5K
    95923In this procedure, the provider tests the sudomotor function of the autonomic nervous system to check functioning of nerves that supply sweat glands. The autonomic nervous system is that part of the…10$110$1.6K
    93922Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral20$80$1.4K

    Showing 1–10 of 36

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 36 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    36 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141,17713,640130$90$23.6K
    992138,69414,090100$70$13.1K
    8445082060$1$12.9K
    8407561090$1$12.7K
    9581612413050$160$11.8K
    8231072030$1$11.6K
    8224761070$1$11.5K
    G04391,4273,37070$120$11.5K
    95957172030$220$11.4K
    8446082060$1$11.3K

    Showing 1–10 of 36

    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.

    20 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…4,040$40$149.4K
    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…850$30$25.6K
    90740This code represents a vaccine product administered intramuscularly to protect against the liver disease hepatitis B. The vaccine has a three–dose schedule. The dosage is for patients who are…140$90$11.9K
    99396The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.80$100$7.4K
    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…720$1$2.9K
    99457The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…150$10$1.6K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.160$10$1.6K
    99442N/A40$30$1.1K
    J1885Injection, ketorolac tromethamine, per 15 mg280$1$280
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…30$10$160

    Showing 1–10 of 20

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. New Jersey median

    20 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…2,1254,450740$40$229.8K
    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…6163,790580$60$204K
    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…226580390$20$46.2K
    99396The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.289510110$70$32.1K
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…467550310$10$21.1K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.6281,080270$10$19.1K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…206270300$10$18.2K
    90740This code represents a vaccine product administered intramuscularly to protect against the liver disease hepatitis B. The vaccine has a three–dose schedule. The dosage is for patients who are…21080$90$14.6K
    99442N/A24737090$30$11.4K
    J1885Injection, ketorolac tromethamine, per 15 mg1111501,460$1$10.2K

    Showing 1–10 of 20

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Childsmiles, PANJDentist$0$28.9M
    Child Smiles Spec LLCNJOrthodontics and Dentofacial Orthopedics Dentistry$0$19.9M
    New Jersey Adult Medical Day Care Center IiNJAdult Day Care Clinic/Center$0$7.8M
    Julio HubertNJInternal Medicine Physician$582.2K$67.1K
    Sonia SimoesNJNephrology Physician$181.2K$0
    Muhammad AbdullahNJInternal Medicine Physician$94.9K$79.3K
    Firpo GuerreroNJGastroenterology Physician$121K$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. New Jersey Distribution
    Eduardo Samaniego — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey
    Medicaid Revenue by Year vs. New Jersey Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Jersey Distribution
    Eduardo Samaniego — 0 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey