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    OpenPayerNPI Medicare & MedicaidGregory Papa
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    Gregory Papa — Billing Profile & Reimbursement Data

    NPI 1730242397 · New Castle, DE · Family Medicine Physician

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    Gregory Papa is a family medicine physician provider located in New Castle, Delaware. This profile covers 8 Medicare and 16 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
    OrganizationGregory Papa
    Address3620 N Dupont Hwy
    CityNew Castle
    StateDE
    ZIP19720
    TaxonomyFamily Medicine Physician
    NPI EnumeratedDecember 18, 2006

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

    Payer SourceTotal Paid
    Medicaid$658.2K
    Medicare$94.2K

    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.

    8 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…830$60$53.1K
    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…190$90$16.6K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit120$130$14.7K
    G0402Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment20$160$3K
    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…40$70$2.9K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…40$50$2.1K
    G0008Administration of influenza virus vaccine50$30$1.5K
    J1030Injection, methylprednisolone acetate, 40 mg30$10$200

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992148091,830150$80$25.5K
    G043921749090$120$17.2K
    992131021,810120$60$13.6K
    206107312060$50$12.4K
    9066216027060$70$6.5K
    G000827541080$30$4.1K
    G04024911020$160$3.1K
    J1030314050$10$950

    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.

    16 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…13,470$40$552.1K
    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…1,850$50$94.6K
    99396The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.90$80$7.1K
    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…770$1$3.1K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…20$20$480
    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…50$10$470
    G0444Annual depression screening, 5 to 15 minutes50$10$400
    J1030Injection, methylprednisolone acetate, 40 mg20$1$60
    1125FThe provider measures the severity of pain in a patient with cancer who receives chemotherapy or radiotherapy during the measurement period. Report this code if the patient experiences pain.10$0$0
    1159FNo Summary found for this code30$0$0

    Showing 1–10 of 16

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Delaware median

    16 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…2145001,130$50$235.1K
    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…375401,100$40$185.3K
    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…135190240$60$90.8K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…12101,860$20$90K
    99396The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.3350170$70$41.4K
    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…2460350$20$35.5K
    80305The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…1520720$1$5.3K
    G0444Annual depression screening, 5 to 15 minutes122060$10$2.3K
    J1030Injection, methylprednisolone acetate, 40 mg1110210$1$2K
    3074FNo Summary found for this code7190690$1$100

    Showing 1–10 of 16

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Easter Seals Delaware & Marylands Eastern Shore, IncDEIntellectual & Developmental Disabilities Psychologist$0$315.9M
    Bayada Home Health Care, Inc.DEHome Health Agency$0$61.2M
    Conexio Care, Inc.DEMental Health Clinic/Center (Including Community Mental Health Center)$0$15.8M
    Nurses 'n Kids, Inc.DEMedically Fragile Infants and Children Day Care$0$14.3M
    Delaware Diagnostic Labs, LLCDEClinical Medical Laboratory$3.1M$8.5M
    Point Of Hope Inc.DEIntellectual & Developmental Disabilities Psychologist$0$10M
    Anesthesia Services PADEAnesthesiology Physician$0$6.3M
    Collaborative Effort To Reinforce Transition Success, IncDEIntellectual & Developmental Disabilities Psychologist$0$4M
    Abundant Life Community Development CorporationDEIntellectual & Developmental Disabilities Psychologist$0$2M
    State Of DelawareDELocal Education Agency (LEA)$0$2M

    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. Delaware Distribution
    Gregory Papa — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware
    Medicaid Revenue by Year vs. Delaware Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Delaware Distribution
    Gregory Papa — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware