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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSally Dowling
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    Sally Dowling — Billing Profile & Reimbursement Data

    NPI 1922005255 · Selbyville, DE · Family Medicine Physician

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    Sally Dowling is a family medicine physician provider located in Selbyville, Delaware. This profile covers 16 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
    OrganizationSally Dowling
    Address15 N Williams St
    CitySelbyville
    StateDE
    ZIP19975
    TaxonomyFamily Medicine Physician
    NPI EnumeratedJuly 1, 2005

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

    Payer SourceTotal Paid
    Medicare$88.2K
    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.

    16 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…550$40$23.1K
    90677This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…60$280$16.1K
    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…360$40$14.2K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit210$40$8.7K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…100$70$7.3K
    87428The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…80$50$4K
    G0008Administration of influenza virus vaccine110$30$3.3K
    G0442Annual alcohol misuse screening, 5 to 15 minutes170$20$3K
    G0009Administration of pneumococcal vaccine60$30$1.9K
    99495The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires at least moderate medical decision making,…30$50$1.8K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992142911,830150$80$25.5K
    G043911649090$120$17.2K
    992133161,810120$60$13.6K
    906773326030$280$9.4K
    906628327060$70$6.5K
    G000816741080$30$4.1K
    994953318020$130$3.5K
    G04029111020$160$3.1K
    9300020834040$10$2.5K
    G04445912080$20$2.4K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Atlantic General Hospital CorporationMDFamily Medicine Physician$0$5.4M
    Rabindra PaulMDInfectious Disease Physician$2.1M$0
    Curtis AsburyDEDermatology Physician$1.1M$0
    Sara MoghaddamDEDermatology Physician$1.1M$0
    David ChungMDDiagnostic Ultrasound Physician$1.1M$0
    Osamuyimen IgbinosaDCInternal Medicine Physician$278.3K$641.7K
    Mark TreuthMDInterventional Cardiology Physician$905.6K$0
    Kunal AgarwalFLSleep Medicine (Family Medicine) Physician$700.7K$0
    Manoj JainMDRadiation Oncology Physician$695.5K$0
    Gerard HoganMDBody Imaging Physician$631.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    State Of DelawareDELocal Education Agency (LEA)$0$2.3M
    Advanced Alert L.L.C.DEDurable Medical Equipment & Medical Supplies$0$1.1M
    Smiley Pediatric Speech Therapy LLCDEMulti-Specialty Clinic/Center$0$250.1K
    Dominick PolicareDEPhysical Therapist$193.9K$0
    Michael SabolDEPhysical Therapist$193K$0
    Delaware Cvs Pharmacy, L.L.C.DEPharmacy$191.4K$0
    Maricryst BiraoDEPhysical Therapist$183.1K$0
    Kerri SalduttiDEPhysical Therapist$180.7K$0
    Jessica HammondDENurse Practitioner$155.4K$0
    Ellen RhodesDEFamily Medicine Physician$153.2K$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. Delaware Distribution
    Sally Dowling — 0 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware