Loading...
NPI 1730445651 · New Castle, PA · Family Medicine Physician
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Caroline Daniels is a family medicine physician provider located in New Castle, Pennsylvania. This profile covers 7 Medicare and 10 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Caroline Daniels |
| Address | 2008 W State St |
| City | New Castle |
| State | PA |
| ZIP | 16101 |
| Taxonomy | Family Medicine Physician |
| NPI Enumerated | April 4, 2012 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $99.1K |
| Medicare | $30.2K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The 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… | 170 | $80 | $13.2K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 50 | $130 | $6.4K |
| 99215 | The 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… | 40 | $120 | $5.1K |
| 90677 | This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the… | 10 | $240 | $2.6K |
| 90739 | This code represents an adult–dosage vaccine product administered intramuscularly to protect against the liver disease hepatitis B. The product has a synthetic DNA called CpG added to improve the… | 10 | $160 | $1.9K |
| 90682 | This 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… | 20 | $40 | $670 |
| G0008 | Administration of influenza virus vaccine | 20 | $20 | $380 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.
View: State1 / 2
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The 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… | 1,780 | $50 | $96.2K |
| 99396 | The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64. | 50 | $20 | $1.2K |
| G0008 | Administration of influenza virus vaccine | 120 | $10 | $1.1K |
| 99395 | The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39. | 30 | $20 | $650 |
| 90682 | This 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… | 20 | $20 | $410 |
| 99173 | The 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… | 10 | $10 | $70 |
| 3061F | The 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… | 30 | $0 | $0 |
| 3079F | No Summary found for this code | 30 | $0 | $0 |
| 90674 | This 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… | 50 | $0 | $0 |
| 90677 | This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the… | 10 | $0 | $0 |
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
10 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99214 | The 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… | 1,110 | 8,160 | 210 | $60 | $68.4K |
| 99395 | The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39. | 346 | 510 | 60 | $50 | $13.1K |
| 99396 | The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64. | 139 | 320 | 40 | $30 | $7K |
| 99173 | The 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… | 945 | 1,010 | 140 | $1 | $2.2K |
| G0008 | Administration of influenza virus vaccine | 159 | 700 | 40 | $10 | $1.9K |
| 90677 | This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the… | 312 | 370 | 90 | $10 | $1.6K |
| 90682 | This 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… | 97 | 190 | 20 | $20 | $1.6K |
| 90674 | This 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… | 91 | 230 | 30 | $10 | $1.5K |
| 3079F | No Summary found for this code | 587 | 860 | 70 | $1 | $260 |
| 3061F | The 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… | 85 | 150 | 40 | $1 | $10 |
Other providers in the same ZIP code as Caroline Daniels, ranked by combined Medicare and Medicaid revenue.
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.