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    OpenPayerNPI Medicare & MedicaidAllen Samuels
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    Allen Samuels — Billing Profile & Reimbursement Data

    NPI 1811033764 · Erie, PA · Rheumatology Physician

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    Allen Samuels is a rheumatology physician provider located in Erie, Pennsylvania. This profile covers 29 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationAllen Samuels
    Address2861 W 26th St Ste 2
    CityErie
    StatePA
    ZIP16506
    TaxonomyRheumatology Physician
    NPI EnumeratedJanuary 29, 2007

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

    Payer SourceTotal Paid
    Medicare$594.5K
    Medicaid$820

    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.

    29 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J1745Injection, infliximab, excludes biosimilar, 10 mg8,740$30$218.5K
    J0897Injection, denosumab, 1 mg9,240$20$166.3K
    96401The provider administers nonhormonal, antineoplastic chemotherapy drugs subcutaneously or intramuscularly to the patient.1,580$50$82.2K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…300$110$32.8K
    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…350$90$32.4K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…280$90$25.1K
    77085The provider measures the mineral density of the bones of the axial skeleton and assesses a vertebral fracture. He performs the procedure to assess the patient for the presence of osteoporosis or…130$50$6.3K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…100$50$4.7K
    96415In this add on procedure, the provider continues administration of a chemotherapy drug into a vein using an infusion technique. He uses this code to report each additional hour of infusion beyond the…230$20$4.6K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…50$70$3.2K

    Showing 1–10 of 29

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    29 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J17458803,630$30$115.4K
    J0897775302,460$20$89.6K
    9641374300140$100$19.8K
    992143,40823,230100$80$14.5K
    964012190140$60$12.8K
    992152537,17040$120$8.6K
    9921315,63222,37070$60$7.7K
    206107611,98060$50$6.7K
    9636518631070$50$5.3K
    992047,63410,29030$110$5K

    Showing 1–10 of 29

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…20$60$830

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Pennsylvania median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…7,9808,870240$40$56.1K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Somc Medical Care Foundation, Inc.OHFamily Medicine Physician$0$25.3M
    St. Luke's HospitalPAGeneral Acute Care Hospital$0$23.4M
    St Lukes HospitalPAGeneral Acute Care Hospital$0$20.8M
    Dubois Regional Medical CenterPAGeneral Acute Care Hospital$0$18.7M
    Patient First Pennsylvania Medical Group PLLCVAUrgent Care Clinic/Center$0$14.6M
    Patient First Richmond Physician's Group PCVAUrgent Care Clinic/Center$0$11.1M
    St Lukes Hospital-anderson CampusPAGeneral Acute Care Hospital$0$8.5M
    St Luke's HospitalPAGeneral Acute Care Hospital$0$7M
    Patient First Pennsylvania Medical Group PLLCPAFamily Medicine Physician$0$5.6M
    Medical Foundation, Inc.MSGeriatric Medicine (Family Medicine) Physician$0$1.8M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Achievement Center Of Lecom HealthPACommunity/Behavioral Health Agency$0$39M
    Sarah A. Reed Children's CenterPAEmotionally Disturbed Childrens' Residential Treatment Facility$0$9.4M
    Village Surgicenter, Limited PartnershipPAAmbulatory Surgical Clinic/Center$457.6K$313.8K
    Premier 2020, LLCPAAmbulatory Surgical Clinic/Center$522.3K$0
    Brian MussettPAFoot & Ankle Surgery Podiatrist$68.7K$0
    Timothy KoPAInterventional Pain Medicine Physician$65.4K$2.4K
    Cory DavidsonPAMedical Physician Assistant$46K$0
    Sandy ClementePAFamily Medicine Physician$28.9K$0
    Rachel MeadePACertified Registered Nurse Anesthetist$17.2K$0
    Ryan MarovichPAPhysician Assistant$16.8K$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. Pennsylvania Distribution
    Allen Samuels — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania
    Medicaid Revenue by Year vs. Pennsylvania Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Pennsylvania Distribution
    Allen Samuels — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania