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    OpenPayerNPI Medicare & MedicaidJohn Paschold
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    John Paschold — Billing Profile & Reimbursement Data

    NPI 1962407510 · Williamsburg, VA · Specialist

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    John Paschold is a specialist provider located in Williamsburg, Virginia. This profile covers 62 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
    OrganizationJohn Paschold
    Address500 Sentara Circle
    CityWilliamsburg
    StateVA
    ZIP23188
    TaxonomySpecialist
    NPI EnumeratedJune 20, 2005

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

    Payer SourceTotal Paid
    Medicare$1.6M
    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.

    62 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg19,400$40$814.8K
    J9299Injection, nivolumab, 1 mg20,640$20$495.4K
    J0897Injection, denosumab, 1 mg3,900$20$70.2K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…330$100$33.1K
    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…400$70$26.5K
    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…270$100$25.9K
    Q5122Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg250$90$23.2K
    J0881Injection, darbepoetin alfa, 1 microgram (non-esrd use)10,300$1$20.6K
    J2506Injection, pegfilgrastim, excludes biosimilar, 0.5 mg180$80$13.7K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.720$10$7.2K

    Showing 1–10 of 62

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 62 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    62 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J92711911012,800$40$610.9K
    J929943012,920$20$335.4K
    J08971293402,820$20$89.3K
    J0881378010,200$1$34.5K
    Q51222440270$90$32.5K
    J25063440360$80$31.2K
    9641379230250$100$28.5K
    992143,98012,890140$80$21K
    J34906111060$280$20.5K
    J018560808,450$1$12.1K

    Showing 1–10 of 62

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Virginia Oncology AssociatesVAHematology & Oncology Physician$0$6.2M
    Maryland Oncology Hematology P.A.MDHematology & Oncology Physician$0$4.6M
    Victor ArchieVARadiation Oncology Physician$4M$0
    Julia Schaefer-cutilloNCHematology & Oncology Physician$4M$0
    Mark FlemingVAHematology & Oncology Physician$3.9M$0
    Thomas AlbericoVAHematology & Oncology Physician$3.5M$0
    David KobulnickyVAHematology & Oncology Physician$3M$0
    Celesteann BremerVAHematology & Oncology Physician$2.8M$0
    Bo ZhaoVAHematology & Oncology Physician$2.6M$0
    Michael LeeVASpecialist$2.3M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sentara HospitalsVAGeneral Acute Care Hospital$0$21.9M
    Velocity Urgent Care, LLCVAUrgent Care Clinic/Center$0$20.9M
    Addiction Recovery Center Of VirginiaVAClinic/Center$0$6M
    Evolution Recovery Services LLCVAAddiction (Substance Use Disorder) Counselor$0$5.6M
    Surgical Suites Of Coastal Virginia, LLCVAAmbulatory Surgical Clinic/Center$1.3M$8.7K
    Sonia HepburnVAHematology & Oncology Physician$1.2M$0
    Audra AlbertVAFamily Nurse Practitioner$639.8K$0
    Aleisha JohnsonVADiagnostic Radiology Physician$626.6K$0
    Pranav ParikhVAInternal Medicine Physician$579K$0
    John NordlundVAOphthalmology Physician$576.1K$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. Virginia Distribution
    John Paschold — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia