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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPatricia Houser
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    Patricia Houser — Billing Profile & Reimbursement Data

    NPI 1932179322 · Winchester, VA · Family Medicine Physician

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    Patricia Houser is a family medicine physician provider located in Winchester, Virginia. This profile covers 18 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
    OrganizationPatricia Houser
    Address1867 Amherst St
    CityWinchester
    StateVA
    ZIP22601
    TaxonomyFamily Medicine Physician
    NPI EnumeratedJanuary 26, 2006

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

    Payer SourceTotal Paid
    Medicare$206.1K
    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…260$280$72.8K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit300$130$37.5K
    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…400$80$30.4K
    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…450$50$23.5K
    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…180$70$12.9K
    G0009Administration of pneumococcal vaccine260$30$7.8K
    G0008Administration of influenza virus vaccine180$30$5.5K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.570$10$4.5K
    G0402Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment20$160$2.8K
    99211An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.120$20$1.9K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992142,71012,890140$80$21K
    G04392432,96080$120$14.7K
    992131,00012,44090$60$10K
    9067731,85020$280$8K
    906622502,26060$70$5.8K
    9949555860020$140$3.6K
    G00086663,49070$30$3.1K
    364153582,620120$10$3K
    G040218960020$150$2.6K
    830366731,19080$10$2.5K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Privia Medical Group, LLCVAInternal Medicine Physician$0$81.2M
    Robert BrennanVAInfectious Disease Physician$15.9M$0
    Adebowale PrestMDFamily Medicine Physician$2.8M$0
    Bluestone Health Association, Inc.WVFederally Qualified Health Center (FQHC)$0$1.9M
    Enrico GiangerusoVAAnatomic Pathology & Clinical Pathology Physician$1.4M$0
    Glenda MccarterMDNurse Practitioner$1.3M$0
    Marilyn ChengotNYCardiovascular Disease Physician$909.9K$15.1K
    Momodu JackDCGastroenterology Physician$25K$759K
    Anish DesaiMDPulmonary Disease Physician$302.4K$374.2K
    Christopher VaccariMDCardiovascular Disease Physician$675.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Grafton School, Inc.VAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$92M
    Winchester Medical CenterVAGeneral Acute Care Hospital$0$69.9M
    Grafton School IncVAPsychiatric Residential Treatment Facility$0$33M
    Shenandoah Valley Community Residences, Inc.VAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$17.4M
    Compassionate Home CareVAIn Home Supportive Care Agency$0$14.5M
    Nova Family Services, Inc.VAIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$13.5M
    Uncle Sam Transportation LLCVATaxi$0$12M
    National Counseling Group, IncVAMental Health Counselor$0$11.2M
    Pediatrix Medical Group PCVANeonatal-Perinatal Medicine Physician$0$10.8M
    Winchester Medical CenterVAObstetrics & Gynecology Physician$0$10M

    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. Virginia Distribution
    Patricia Houser — 2 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia