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    v1.0.28
    OpenPayerNPI Medicare & MedicaidCristina Rutherford
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    Cristina Rutherford — Billing Profile & Reimbursement Data

    NPI 1831534031 · Portland, ME · Gastroenterology Physician

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    Cristina Rutherford is a gastroenterology physician provider located in Portland, Maine. 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationCristina Rutherford
    Address161 Marginal Way
    CityPortland
    StateME
    ZIP04101
    TaxonomyGastroenterology Physician
    NPI EnumeratedMay 2, 2013

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

    Payer SourceTotal Paid
    Medicare$46K
    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
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…90$210$18.7K
    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…210$50$10.9K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.60$80$4.3K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…40$100$3.4K
    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…30$100$2.7K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk10$180$2K
    45378The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…20$110$2K
    43235The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing.10$80$1K
    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…10$60$810
    G0500Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence…80$1$300

    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
    883055360480$30$28.8K
    45385156070$230$19.5K
    992141,9952,50070$70$7.2K
    G0105293020$220$6.1K
    45380296030$120$5.3K
    43239247050$80$4.7K
    992132,1892,35050$50$4.3K
    45378123020$140$2.6K
    43235293020$90$2.1K
    G0500133080$1$330

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Portland Endoscopy CenterMEAmbulatory Surgical Clinic/Center$730.1K$1.1M
    Fernando CalmetMEGastroenterology Physician$111.4K$0
    Andreas StefanMEGastroenterology Physician$84.4K$0
    Gordon MillspaughMEGastroenterology Physician$63.7K$0
    Benjamin PotterMEGastroenterology Physician$62.2K$0
    Daniil RolshudMEGastroenterology Physician$56.4K$0
    Noemi BaffyMEGastroenterology Physician$51.3K$0
    James MorseMEGastroenterology Physician$51.3K$0
    Joshua GoldmanMEGastroenterology Physician$47.6K$0
    Kelly PizzoMEGastroenterology Physician$46.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    MainehealthMECommunity/Behavioral Health Agency$0$115M
    Goodwill Industries Of Northern New EnglandMEComprehensive Outpatient Rehabilitation Facility (CORF)$0$106M
    Maine Vocational Associates, Inc.MEDevelopmentally Disabled Services Day Training Agency$0$34.3M
    Catholic Charities MaineMEClinical Social Worker$0$17.7M
    Spurwink Services IncorporatedMEMental Health Clinic/Center (Including Community Mental Health Center)$0$16.8M
    Milestone RecoveryMESubstance Abuse Rehabilitation Facility$0$8.8M
    Portland Community Health CenterMEFederally Qualified Health Center (FQHC)$0$7.4M
    Black Bear Medical, Inc.MECustomized Equipment (DME)$0$7.4M
    Usa Family Well Being Services LLCMECommunity/Behavioral Health Agency$0$6.3M
    City Of PortlandMELand Ambulance$740.2K$5.4M

    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. Maine Distribution
    Cristina Rutherford — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maine