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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRaul Tapia
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    Raul Tapia — Billing Profile & Reimbursement Data

    NPI 1811002330 · Brooksville, FL · Anatomic Pathology & Clinical Pathology Physician

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    Raul Tapia is a anatomic pathology & clinical pathology physician provider located in Brooksville, Florida. This profile covers 23 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
    OrganizationRaul Tapia
    Address11375 Cortez Blvd
    CityBrooksville
    StateFL
    ZIP34613
    TaxonomyAnatomic Pathology & Clinical Pathology Physician
    NPI EnumeratedAugust 21, 2006

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

    Payer SourceTotal Paid
    Medicare$79K
    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.

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…860$30$24.9K
    88189The clinician, typically a pathologist, interprets flow cytometry results of 16 or more markers.120$70$7.9K
    88342The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…260$30$7K
    85060The physician, typically a clinical pathologist, performs a peripheral blood smear review and provides an interpretation and written report of the examination.300$20$6.1K
    88341The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified…270$20$5.6K
    88173The lab analyst performs the technical lab test to analyze a cytopathology specimen from a fine needle aspirate and then interprets and reports the results.90$50$4.5K
    88112Selective cellular enhancement for cytopathology, such as the method of using a liquid–based slide preparation, uses a liquid–based medium to collect samples and preserve cells which can aid in…200$20$4.2K
    88307The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…50$60$3.5K
    G0416Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method20$130$2.4K
    88374The lab analyst applies a single multiplex in situ hybridization probe stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. The lab analyst processes the slides…70$30$2.2K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    883742030130$160$278.1K
    88305346980570$40$83.5K
    88120142070$350$78K
    8831225451070$60$24K
    88341312650260$40$20K
    88342170730130$50$16.5K
    G04167913020$210$12.2K
    8831314747080$40$11.6K
    881893714070$70$10.7K
    88307352490100$70$8.9K

    Showing 1–10 of 23

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Integrated Regional Laboratories Pathology Services, LLCFLAnatomic Pathology & Clinical Pathology Physician$0$23.4M
    Holy Cross Hospital IncFLGeneral Acute Care Hospital$0$7.9M
    Jacqueline RussoFLAnatomic Pathology & Clinical Pathology Physician$2.7M$0
    John WilliamsFLCytopathology Physician$1.1M$0
    Xiaoping ZhouVAAnatomic Pathology & Clinical Pathology Physician$968.4K$59.3K
    Jonathan LevyFLOrthopaedic Surgery Physician$700.1K$0
    Martin RocheFLOrthopaedic Surgery Physician$690.6K$0
    Troy HamptonFLAnatomic Pathology & Clinical Pathology Physician$628.6K$0
    Manjesh LingamurthyFLHematology & Oncology Physician$584.8K$0
    Melanie HopkinsSCAnatomic Pathology & Clinical Pathology Physician$440.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Phoenix Counseling Service IncFLCommunity/Behavioral Health Agency$0$11.9M
    Hca Health Services Of Florida, Inc.FLGeneral Acute Care Hospital$0$10.6M
    Hernando-pasco Hospice, Inc.FLCommunity Based Hospice Care Agency$0$8.8M
    Thomas WardFLRetina Specialist (Ophthalmology) Physician$4.7M$0
    Shaminder BhullarFLOphthalmology Physician$1.6M$1.8K
    Anas MoureidenFLSpecialist$1.2M$0
    Georges JosephFLInterventional Cardiology Physician$1.2M$0
    Thomas MathewsFLSpecialist$1M$0
    Aaron DensonFLHematology & Oncology Physician$1M$0
    Vatsala SastryFLInfectious Disease Physician$834.3K$60.3K

    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. Florida Distribution
    Raul Tapia — 1 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida