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 & MedicaidRima Defatta
    Ask Trek AI about this page

    Rima Defatta — Billing Profile & Reimbursement Data

    NPI 1790931707 · Altoona, WI · Otolaryngology Physician

    Customize your policy alerts

    Sign up for Rima Defatta — 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.

    Rima Defatta is a otolaryngology physician provider located in Altoona, Wisconsin. 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.

    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
    OrganizationRima Defatta
    Address1490 Rivers Edge Trl
    CityAltoona
    StateWI
    ZIP54720
    TaxonomyOtolaryngology Physician
    NPI EnumeratedAugust 9, 2008

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

    Payer SourceTotal Paid
    Medicare$73.1K
    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
    30117In this procedure, the provider excises or destroys a lesion in the nose through an internal approach, in which the provider places the surgical instruments into the nose to perform the procedure.30$540$17.8K
    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…280$60$16.3K
    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…60$90$5.5K
    95115The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives a single injection during the visit.740$10$5.2K
    95024The provider introduces allergenic extracts into the skin to determine if the patient has an immediate allergic response, interprets the results and writes a report specifying the number of tests.720$10$4.3K
    31575The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.50$90$4.3K
    31231In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.30$130$3.3K
    31579The provider uses a flexible or rigid laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. He also performs stroboscopy, which is a method of examination…20$140$3.2K
    95004The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.930$1$2.8K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…80$40$2.8K

    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
    3011761080$400$36.2K
    992145,6269,80080$70$9.2K
    951651320270$10$5.6K
    992134919,38060$50$4.7K
    3157951020$110$4.5K
    312315310030$100$3.9K
    95024520450$10$3.1K
    315753913040$70$2.9K
    992031,4312,82030$60$2.4K
    9255716118080$20$2K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Aspirus Stevens Point Hospital & Clinics, Inc.WIGeneral Acute Care Hospital$0$15.6M
    Black River Health IncWICritical Access Hospital$0$13M
    Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.WIGeneral Acute Care Hospital$0$10.2M
    Aspirus Stanley Hospital & Clinics, Inc.WICritical Access Hospital$0$4.8M
    Lee HoferWIOphthalmology Physician$1.7M$0
    Ronald LangeWIOphthalmology Physician$1.3M$0
    Alexander RingeisenMNRetina Specialist (Ophthalmology) Physician$1.1M$0
    Terrence MccannaWIOphthalmology Physician$506.9K$0
    Syed AkbarILDiagnostic Radiology Physician$280.8K$223.7K
    Bharat RajuOHFamily Medicine Physician$59.6K$433.8K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Grace Home Respiratory IncWIDurable Medical Equipment & Medical Supplies$0$2.1M
    Troy BergWIOrthopaedic Surgery Physician$188.9K$0
    Nathaniel StewartWIOrthopaedic Surgery Physician$154.4K$0
    Carol CarlsonWIPhysical Medicine & Rehabilitation Physician$138.7K$0
    Brent CarlsonWIOrthopaedic Surgery Physician$130.3K$0
    Ryan DoneganWIPodiatrist$123K$0
    Austin CrowWIOrthopaedic Surgery Physician$102.9K$0
    Nathan HarrisWIOrthopaedic Surgery Physician$88.4K$0
    John BerschbackWISurgery of the Hand (Surgery) Physician$83.1K$0
    Kamal ThaparWINeurological Surgery Physician$59.7K$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. Wisconsin Distribution
    Rima Defatta — 1 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin