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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRalph Defriece
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    Ralph Defriece — Billing Profile & Reimbursement Data

    NPI 1760473789 · Millville, DE · Family Medicine Physician

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    Ralph Defriece is a family medicine physician provider located in Millville, Delaware. This profile covers 15 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
    OrganizationRalph Defriece
    Address32550 Docs Pl Unit 1
    CityMillville
    StateDE
    ZIP19967
    TaxonomyFamily Medicine Physician
    NPI EnumeratedOctober 31, 2005

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

    Payer SourceTotal Paid
    Medicare$86.6K
    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.

    15 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…390$100$38.5K
    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…480$60$30.5K
    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…100$90$8.8K
    99202The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…70$50$3.6K
    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$960
    90694This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…10$80$840
    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.30$20$540
    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…40$10$420
    99211An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.20$20$400
    69209The provider flushes or washes (irrigation/lavage) out the entrapped wax (cerumen) from a patient’s external ear canal with a stream of water to correct hearing loss or discomfort.30$10$380

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992144341,830150$80$25.5K
    992132191,810120$60$13.6K
    9069420621090$70$10.8K
    9920314567040$70$5.3K
    G000840741080$30$4.1K
    9300016434040$10$2.5K
    992021810020$50$2.2K
    992119513030$20$1.1K
    87804388030$20$810
    90715122010$30$440

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Beebe Physician Network Inc.DEInternal Medicine Physician$0$19.7M
    Rajinder PrasadDECardiovascular Disease Physician$1.1M$0
    Ehtasham QureshiDECardiovascular Disease Physician$975.7K$0
    Mouhanad FreihDECardiovascular Disease Physician$796K$0
    Georges DahrDECardiovascular Disease Physician$763.7K$0
    Gene MyersDECardiovascular Disease Physician$650.7K$0
    Ramon RosaDECardiovascular Disease Physician$556.1K$0
    Ajith KumarDECardiovascular Disease Physician$549.4K$0
    Kenneth SunnergrenDECardiovascular Disease Physician$448.4K$0
    Carlos NevesDEVascular Surgery Physician$389.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Syracuse Physical Therapy PartnersDERehabilitation Practitioner$0$759.9K
    Coastal Kid WatchDEMedical Specialty Clinic/Center$0$595.2K
    Millville Volunteer Fire Company IncDELand Ambulance$393.4K$23.3K
    Kimberly GallagherDEFamily Medicine Physician$412.3K$0
    Friends & Family Practice, PADEFamily Medicine Physician$0$188.3K
    Rite Aid Of Delaware IncDECommunity/Retail Pharmacy$171K$0
    Bryan FordDEPhysical Therapist$159K$0
    Shanon MoyerDEProfessional Counselor$0$120.9K
    Amanda MarrDEAdult Health Nurse Practitioner$107.2K$0
    Donielle BrasureDEPhysical Therapist$83.6K$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. Delaware Distribution
    Ralph Defriece — 1 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware