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 & MedicaidDenise Hoffman
    Ask Trek AI about this page

    Denise Hoffman — Billing Profile & Reimbursement Data

    NPI 1821458217 · Kingston, PA · Physician Assistant

    Customize your policy alerts

    Sign up for Denise Hoffman — 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.

    Denise Hoffman is a physician assistant provider located in Kingston, Pennsylvania. This profile covers 10 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
    OrganizationDenise Hoffman
    Address423 3rd Ave
    CityKingston
    StatePA
    ZIP18704
    TaxonomyPhysician Assistant
    NPI EnumeratedFebruary 29, 2016

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

    Payer SourceTotal Paid
    Medicare$119.8K
    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.

    10 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…760$50$37.8K
    J9217Leuprolide acetate (for depot suspension), 7.5 mg260$140$35.2K
    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…480$70$35K
    81000The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…1,210$1$4.8K
    99203The provider sees a new 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 provider…30$70$2.1K
    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…30$80$2.1K
    96402In this procedure, the provider administers chemotherapy either subcutaneously, meaning under the skin, or intramuscularly, meaning in muscle. He administers a hormonal anti–neoplastic drug.70$20$1.3K
    51798Providers perform this ultrasound to measure the volume of residual urine in the bladder.190$10$1.3K
    P9612Catheterization for collection of specimen, single patient, all places of service30$10$150
    81002The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…40$1$120

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J921715130130$130$21.3K
    992141,90623,230100$80$14.5K
    9921340222,37070$60$7.7K
    992045,68310,29030$110$5K
    992033,6607,33030$70$3.5K
    51798141500100$10$1.4K
    964022818040$20$1.2K
    81000319040$1$320
    P961241030$10$300
    810023611,52020$1$190

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kevin MustoPAInternal Medicine Physician$414K$230
    Javid AminiPACardiovascular Disease Physician$338.5K$160
    William HottensteinPAInternal Medicine Physician$303.4K$0
    William CharltonPAOrthopaedic Surgery Physician$240.3K$0
    Loren ManginoPAFamily Medicine Physician$236.9K$0
    Michael RittenbergPASpecialist$219.8K$0
    Walter DelgaudioPAUrology Physician$215.7K$0
    Robert FiorelliPAUrology Physician$205.9K$0
    Ron KoneckePADiagnostic Radiology Physician$150.5K$27.2K
    Daniel RittenbergPAUrology Physician$172.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Beyond Behavior ConsultingPABehavior Analyst$0$10.3M
    Keystone Behavior Services, LLCPACommunity/Behavioral Health Agency$0$6.1M
    Luzerne Intermediate Unit #18PACommunity/Behavioral Health Agency$0$5.7M
    Bruce SaidmanPAHematology & Oncology Physician$3.4M$1
    David GreenwaldPAHematology & Oncology Physician$2.7M$590
    Erik KrugerPAOphthalmology Physician$2.4M$11.8K
    Surgical Specialty Center Of Northeastern Pennsylvania, LLCPAAmbulatory Surgical Clinic/Center$1.5M$124.1K
    Anthony AndrewsPAOphthalmology Physician$1.3M$100
    Radu PacurariuPAOphthalmology Physician$1M$0
    Mark GroholPAOptometrist$221.5K$697.4K

    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
    Denise Hoffman — 2 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania