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    OpenPayerNPI Medicare & MedicaidSamantha Yosim
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    Samantha Yosim — Billing Profile & Reimbursement Data

    NPI 1912516931 · Fort Defiance, AZ · Physician Assistant

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    Samantha Yosim is a physician assistant provider located in Fort Defiance, Arizona. This profile covers 3 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
    OrganizationSamantha Yosim
    AddressCorner Of Route N12 And N7
    CityFort Defiance
    StateAZ
    ZIP86504
    TaxonomyPhysician Assistant
    NPI EnumeratedJuly 27, 2020

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

    Payer SourceTotal Paid
    Medicare$3.4K
    Medicaid$0

    Key Findings

    This provider is effectively a single-payer Medicare biller with $3.4K in lifetime Medicare revenue and no Medicaid billing on file; there is no Medicaid activity to analyze, so payer mix is heavily concentrated on Medicare for the claims captured here. The absence of Medicaid billing indicates the provider either does not participate in Medicaid, does not treat Medicaid-covered patients, or has not reported Medicaid claims to the dataset.

    Revenue is highly concentrated in a very small set of services: the precomputed top three Medicare codes account for 100.0% of this provider’s Medicare revenue. That concentration suggests a focused service mix rather than a broad range of billed procedures, so analysts should treat this profile as representing a narrow set of outpatient and ED evaluation-and-management activity.

    The dominant code is 99214, which accounts for $2.4K and 69.4% of the provider’s Medicare revenue. 99214 describes established-patient office/outpatient visits with moderate medical decision making or ~30+ minutes total time, implying the provider’s revenue base is centered on higher-complexity ambulatory E/M visits rather than procedures or diagnostic testing.

    The other two revenue-driving codes are 99282 (17.4% of Medicare revenue, $598) and 99213 (13.1% of Medicare revenue, $450). Together with 99214 these three E/M codes make up the entirety of Medicare revenue, reinforcing that the practice activity reflected in the data is emergency-department and office-based evaluation and management rather than specialty procedures or ancillary services.

    On national competitive standing for the largest code, the provider’s 99214 volume ranks #367164 of 479517 (23rd percentile), indicating a modest, unremarkable national footprint for that office/outpatient E/M code rather than a dominant or high-volume presence. For 99282 the provider ranks #681 of 3059 (76th percentile), which places their ED-level E/M volume above many peers nationally and suggests relatively stronger activity in emergency-department encounters compared with the provider’s office-visit footprint. For 99213 the rank is #428961 of 457151 (5th percentile), which is very low and signals minimal volume on lower-complexity established-patient visits compared with national peers.

    The provider has been enumerated since 2020-07-27 (~6 years ago), so the billing profile reflects a multi-year active enrollment but relatively modest lifetime Medicare revenue of $3.4K. Given the enumeration date and small revenue, this could represent part-time clinical activity, recent entry into Medicare billing, or limited claim capture in the dataset rather than a large ambulatory practice.

    Statistical standing labels in the data are consistent with these observations: all three top codes are described as “typical, unremarkable volume for this code” except 99213 which is at a very low national volume percentile. In plain terms, the provider’s 99282 activity is notably above many peers while 99214 and especially 99213 reflect modest-to-low volume by national comparison, underscoring a mixed competitive profile across different E/M settings.

    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.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…40$60$2.4K
    99282The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.20$30$600
    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$30$450

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    3 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99214310,410120$80$20.6K
    9921389,60080$60$9.6K
    9928238020$30$850

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Michael FazioILDiagnostic Radiology Physician$294.3K$184.3K
    Robert MahantiAZOphthalmology Physician$371.8K$0
    John MorelliOKDiagnostic Radiology Physician$214.5K$0
    Rona GazawayMNDiagnostic Radiology Physician$155.4K$0
    Zandra NoceraAZDiagnostic Radiology Physician$59.1K$1.6K
    Alexandra HerndonWAEmergency Medicine Physician$18.8K$29.5K
    Paul SatterUTInternal Medicine Physician$37.5K$0
    Christian Gomez-castroAZDiagnostic Radiology Physician$33.4K$0
    James VillarealAZEmergency Medicine Physician$32.1K$0
    Kamun ChanUTEmergency Medicine Physician$19K$8.7K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Fort Defiance Indian Hospital Board, IncorporationAZGeneral Acute Care Hospital$0$13M
    Bernadette GiangrecoAZPodiatrist$174.6K$0
    Evan RossAZFoot & Ankle Surgery Podiatrist$108.5K$0
    William RenoAZCertified Registered Nurse Anesthetist$60.3K$0
    Amber HeymAZEmergency Medicine Physician$8.8K$0
    Tyrone WalkerAZEmergency Medicine Physician$8K$0
    Charles PageAZEmergency Medicine Physician$6.6K$0
    Miriam RollasonAZPhysician Assistant$4.9K$0
    Tessa FacerAZPhysician Assistant$4.3K$0
    Lindsey RiggsAZPhysician Assistant$3.7K$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. Arizona Distribution
    Samantha Yosim — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona