Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidDaniel Cosgrove
    Ask Trek AI about this page

    Daniel Cosgrove — Billing Profile & Reimbursement Data

    NPI 1790766491 · Encino, CA · Urology Physician

    Customize your policy alerts

    Sign up for Daniel Cosgrove — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Daniel Cosgrove is a urology physician provider located in Encino, California. This profile covers 41 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationDaniel Cosgrove
    Address16311 Ventura Blvd
    CityEncino
    StateCA
    ZIP91436
    TaxonomyUrology Physician
    NPI EnumeratedNovember 9, 2005

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

    Payer SourceTotal Paid
    Medicare$520.4K
    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.

    41 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…1,560$100$157.9K
    76856A pelvic ultrasound is a noninvasive procedure used to assess body parts such as the bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland, and seminal…980$90$90.3K
    J3145Injection, testosterone undecanoate, 1 mg43,500$1$43.5K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…90$220$20.6K
    84153The lab analyst performs testing for total prostate specific antigen, PSA, typically on serum or plasma samples using laboratory analyzers. PSA is a protein the prostate gland produces, and…1,000$20$18.1K
    84154The lab analyst performs a test to evaluate the level of free prostate specific antigen, called free PSA, in a patient specimen such as serum.780$20$14K
    87086Culture, bacterial; quantitative, colony count, urine.1,720$10$13.7K
    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…110$120$13.7K
    84402The lab analyst performs a test to measure free testosterone, typically in patient serum.530$30$13.3K
    84403The lab analyst performs a test to measure total testosterone, typically in patient serum.530$30$13.3K

    Showing 1–10 of 41

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 41 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    41 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J3145102043,500$1$89K
    8708631110270$10$35.4K
    870882760380$10$33.8K
    9921456437,970120$90$23.2K
    841534333090$20$22.5K
    870773280310$10$22.2K
    844034622080$30$20.3K
    84402137070$20$20.3K
    841541770210$20$19.7K
    522816411020$310$17.2K

    Showing 1–10 of 41

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    David BoyerCAOphthalmology Physician$5.6M$3.4K
    Homayoun TabandehCAOphthalmology Physician$5.1M$6.8K
    Daniel EsmailiCAOphthalmology Physician$2.7M$2.2K
    Omid HamidCAHematology & Oncology Physician$2.7M$0
    Aron Gould-simonCANuclear Radiology Physician$2.3M$0
    Inderjit MehmiCAHematology & Oncology Physician$2.3M$0
    Joshua MintzTXAnesthesiology Physician$2.2M$0
    Thomas ChuCAOphthalmology Physician$2.1M$4K
    Robert VescioCAHematology & Oncology Physician$2.1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Harvey PaleyCAOtolaryngology Physician$8.9M$19.7K
    Freedom Vision Surgery Center LLCCAAmbulatory Surgical Clinic/Center$3.9M$56.2K
    Encino Outpatient Surgery Center, LLCCAClinic/Center$2M$0
    Christian SanfilippoCARetina Specialist (Ophthalmology) Physician$2M$0
    Amir GueramiCAOphthalmology Physician$1.9M$0
    Hajir DadgostarCAOphthalmology Physician$1.9M$2.3K
    Metrolab, Inc.CAClinical Medical Laboratory$177.5K$1.5M
    Darius GharibCAInternal Medicine Physician$1.2M$379.6K
    John RezapourCAOphthalmology Physician$1.2M$6.8K
    Yousef MehrabiCAPediatrics Physician$985.3K$92.8K

    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
    Daniel Cosgrove — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California