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    OpenPayerNPI Medicare & MedicaidDennis Cesar
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    Dennis Cesar — Billing Profile & Reimbursement Data

    NPI 1861685786 · Merced, CA · Urology Physician

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    Dennis Cesar is a urology physician provider located in Merced, California. This profile covers 27 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
    OrganizationDennis Cesar
    Address220 E 13th St
    CityMerced
    StateCA
    ZIP95341
    TaxonomyUrology Physician
    NPI EnumeratedAugust 23, 2007

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

    Payer SourceTotal Paid
    Medicare$475.8K
    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.

    27 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…2,950$60$185.9K
    J9217Leuprolide acetate (for depot suspension), 7.5 mg350$130$46.6K
    51728In this procedure, the provider performs a complex cystometrogram along with voiding pressure studies to diagnose certain urinary disorders like an overactive bladder, stress incontinence, or urinary…120$290$34.3K
    76872The provider inserts an ultrasound probe into the rectum and performs a transrectal ultrasound to assess disorders of the prostate, rectum, and surrounding tissues.320$110$33.3K
    64566In this procedure, the provider applies electrical stimulation to the posterior tibial nerve by inserting a needle electrode through the skin.260$90$23.2K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…120$180$22.1K
    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…190$110$20.4K
    52601During transurethral resection of the prostate (TURP), the surgeon inserts a resectoscope via the urethra and removes a portion of the prostate. This procedure includes several other urological…30$550$18.2K
    52281The provider uses a cystoscope to view inside the urethra and bladder of a male or female patient. The procedure must include calibrating or dilating a urethral stricture or stenosis. The procedure…70$260$17.1K
    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…90$130$12K

    Showing 1–10 of 27

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    27 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J921727320130$130$22.1K
    517281817030$310$18.2K
    50590528020$780$17.9K
    522812911020$310$17.2K
    6456639210130$100$16.5K
    992329,30012,28090$70$16.3K
    5200019172070$180$16K
    992154,61315,36050$130$14.4K
    J91558103,840$1$14K
    52601510020$750$13.5K

    Showing 1–10 of 27

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dignity HealthCAGeneral Acute Care Hospital$0$106.5M
    Vikram LakireddyCACardiovascular Disease Physician$4.8M$0
    Robert WendelCARetina Specialist (Ophthalmology) Physician$4.7M$0
    Margaret ChangCARetina Specialist (Ophthalmology) Physician$4.3M$0
    Juan CanaleCAGastroenterology Physician$91.1K$4.1M
    Felipe RuizCAFoot & Ankle Surgery Podiatrist$4M$3K
    Tony TsaiCARetina Specialist (Ophthalmology) Physician$3.9M$0
    David TelanderCARetina Specialist (Ophthalmology) Physician$3.6M$0
    Joel PearlmanCARetina Specialist (Ophthalmology) Physician$3.3M$0
    Daniel TaheriCADermatology Physician$3.3M$7.4K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    County Of MercedCAAdult Mental Health Clinic/Center$0$93.3M
    Golden Valley Health CenterCAFederally Qualified Health Center (FQHC)$0$79.8M
    County Of MercedCAPsychiatric Hospital$0$47.6M
    County Of MercedCAAdolescent and Children Mental Health Clinic/Center$0$22.5M
    Riggs Ambulance ServiceCALand Ambulance$3.4M$14M
    Alfred PatinoCAPodiatrist$234.3K$300

    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. California Distribution
    Dennis Cesar — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California