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    OpenPayerNPI Medicare & MedicaidRaymond Kovalski
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    Raymond Kovalski — Billing Profile & Reimbursement Data

    NPI 1861588006 · Phoenixville, PA · Pulmonary Disease Physician

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    Raymond Kovalski is a pulmonary disease physician provider located in Phoenixville, Pennsylvania. This profile covers 21 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
    OrganizationRaymond Kovalski
    Address826 Main Street
    CityPhoenixville
    StatePA
    ZIP19460
    TaxonomyPulmonary Disease Physician
    NPI EnumeratedOctober 5, 2006

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

    Payer SourceTotal Paid
    Medicare$237K
    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.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…740$60$47.6K
    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$100$46K
    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…590$70$38.2K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…180$100$17.8K
    95810Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…30$510$13.9K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…90$140$13K
    G0399Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation150$80$11.6K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…80$110$8.3K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit60$130$8.2K
    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…80$80$6.4K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141,86923,230100$80$14.5K
    992331,3726,63070$90$12K
    9923227410,87080$60$9.6K
    G04392,5585,25060$110$9.5K
    992231,2537,02040$130$7.8K
    9921370922,37070$60$7.7K
    958109115030$140$5.7K
    992043,18210,29030$110$5K
    906622,8924,19040$70$4.3K
    992229337,85030$100$4.3K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ohiohealth CorporationOHFamily Medicine Physician$0$89.1M
    University Of Penn-medical GroupPAEmergency Medicine Physician$0$21.5M
    University Of Penn-medical GroupPADiagnostic Radiology Physician$0$17.7M
    Imaging Subspecialists Of North Jersey, LLCNJDiagnostic Radiology Physician$0$7.5M
    Peter BrachaFLRetina Specialist (Ophthalmology) Physician$4M$0
    Bruce SaranPAOphthalmology Physician$2.9M$0
    University Of Penn-medical GroupPAClinical Medical Laboratory$1.2M$1.3M
    Jason RuggieroVARetina Specialist (Ophthalmology) Physician$2.5M$0
    Aimee KrauszPADermatology Physician$1.4M$0
    Phoebe MellenPAOphthalmology Physician$1.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tricounty Medical Equipment And Supply, LLCPADurable Medical Equipment & Medical Supplies$0$27.8M
    Relevant Home Care, LLCPAHome Health Agency$0$6.7M
    Penn Psychiatric Center IncPACommunity/Behavioral Health Agency$0$6.1M
    Regional Womens Health Group LLCPAObstetrics & Gynecology Physician$0$5.8M
    Dennis MonteiroPAPlastic and Reconstructive Surgery Physician$407.5K$9K
    Peter MotelPADermatology Physician$303.9K$0
    Le WangPAHematology (Internal Medicine) Physician$270.4K$0
    Barry FabrizianiPAOptometrist$255K$0
    Ira CantorPAInternal Medicine Physician$234.7K$0
    Brian BrokerPAOtolaryngology Physician$225.3K$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
    Raymond Kovalski — 3 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania