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    OpenPayerNPI Medicare & MedicaidDamian Fernandez
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    Damian Fernandez — Billing Profile & Reimbursement Data

    NPI 1760758106 · San Luis Obispo, CA · Gastroenterology Physician

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    Damian Fernandez is a gastroenterology physician provider located in San Luis Obispo, California. This profile covers 17 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
    OrganizationDamian Fernandez
    Address1010 Murray Ave
    CitySan Luis Obispo
    StateCA
    ZIP93405
    TaxonomyGastroenterology Physician
    NPI EnumeratedMarch 30, 2012

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

    Payer SourceTotal Paid
    Medicare$83.4K
    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…100$200$18.6K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.140$60$8.8K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…90$100$8.5K
    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…70$120$8.4K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…80$100$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…80$90$7.3K
    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$4.6K
    43255An esophagogastroduodenoscopy is a procedure to view the esophagus, stomach, and duodenum by means of flexible endoscope through the mouth. During the procedure, the provider stops patient bleeding.30$140$3.9K
    45378The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…20$120$2.9K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…20$130$2.5K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    453851601,41060$340$33.9K
    453802401,46060$230$23.8K
    9921416,71437,970120$90$23.2K
    432391601,50080$150$17.3K
    9923210,24412,28090$70$16.3K
    9921316,91134,66080$70$13.2K
    G012121671020$340$12.7K
    992236,57113,19050$140$11.3K
    432493327020$310$9.1K
    4537832180020$220$7.5K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Southwest Medical Associates, LLCNMGeneral Practice Physician$0$41.4M
    Unmc PhysiciansNEMulti-Specialty Clinic/Center$0$41.1M
    Alegent Health Bergan Mercy Health SystemNEPsychiatry Physician$0$3.4M
    Ralph HaukeNEHematology & Oncology Physician$2.5M$0
    Lisa ChaikenCARadiation Oncology Physician$1.6M$0
    Penny VandestreekCANuclear Medicine Physician$919.1K$0
    Thomas PughCORadiation Oncology Physician$914.7K$0
    Haysam AkkadNEInterventional Cardiology Physician$817.6K$0
    Frederick WeilandCANuclear Imaging & Therapy Physician$640K$0
    Yubao WangCAHematology & Oncology Physician$612K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Health Centers Of The Central Coast, IncCACommunity Health Clinic/Center$0$31.2M
    Barry EibschutzCARheumatology Physician$6.6M$583.6K
    Galileo Surgery Center, LPCAAmbulatory Surgical Clinic/Center$1.4M$1.1M
    Michael HeffernanCADermatology Physician$2.1M$0
    Joseph DiehlCAMOHS-Micrographic Surgery Physician$1.6M$0
    Jeffrey WuCARadiation Oncology Physician$1.4M$0
    Cheryl KetelsenCAMedical Physician Assistant$1.2M$0
    Christopher JohnsonCAUrology Physician$896.5K$0
    Craig CanfieldCAUrology Physician$785.9K$0
    Magnetic Resonance Imaging Of San Luis Obispo, Inc.CADiagnostic Radiology Physician$652.7K$6.2K

    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. California Distribution
    Damian Fernandez — 0 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California