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    OpenPayerNPI Medicare & MedicaidSimona Braun
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    Simona Braun — Billing Profile & Reimbursement Data

    NPI 1972677045 · Eugene, OR · Rheumatology Physician

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    Simona Braun is a rheumatology physician provider located in Eugene, Oregon. This profile covers 32 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationSimona Braun
    Address132 E Broadway
    CityEugene
    StateOR
    ZIP97401
    TaxonomyRheumatology Physician
    NPI EnumeratedNovember 20, 2006

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

    Payer SourceTotal Paid
    Medicare$190K
    Medicaid$120

    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.

    32 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…1,010$90$86.5K
    86235The lab analyst performs an assay to evaluate the patient’s serum for each antibody to an extractable nuclear antigen, also called ENA. Types of ENA antibodies include anti ribonuclear protein,…760$20$13K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.1,050$10$8.4K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…1,020$10$8.1K
    73110The provider takes at least three X–ray images of a patient’s complete wrist to check for any fracture, swelling, or reason of pain in the wrist area.230$30$6.6K
    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…50$120$6.5K
    99205The provider sees a new 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 provider…40$140$5.7K
    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…80$70$5.6K
    73120X–rays of the extremities have been performed to assess injury, fracture, arthritis, bone spurs, tumors, or congenital abnormalities. Extremity X–rays include the hand, wrist, arm, foot, ankle, hip,…260$20$5.4K
    73564In this procedure, the provider takes four or more X–ray views of the knee joint to check for any fracture, swelling, or reason for pain in the knee area.140$40$4.8K

    Showing 1–10 of 32

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 32 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    32 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    86235310390$20$12.6K
    99214386,07080$70$10.3K
    992157992,17040$100$6.7K
    992133,6505,48060$50$5.7K
    823063215030$30$5.4K
    9066217764040$70$5K
    9920521994020$150$4.7K
    2061013741040$50$3.5K
    8603841090$10$3.4K
    850251546050$10$3K

    Showing 1–10 of 32

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…10$10$100
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.10$1$30

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Oregon providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Oregon median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…1601602,690$1$81.3K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.401420520$1$20K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Providence Health & Services OregonORCritical Access Hospital$0$8.8M
    Gregory StanleyOROrthopaedic Surgery Physician$226.1K$0
    Sarah CassellORRheumatology Physician$164K$0
    Darren JonesORClinical Cardiac Electrophysiology Physician$123.2K$0
    Charles CannanAZCardiovascular Disease Physician$114K$0
    Aly RahimtoolaORCardiovascular Disease Physician$102.9K$0
    Amelia ServinOREmergency Medicine Physician$90K$0
    Kevin WoolfORCardiovascular Disease Physician$86.9K$0
    Alexander MorssORCardiovascular Disease Physician$86.6K$0
    Kristina MoonORCardiovascular Disease Physician$84.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Peacehealth Medical GroupORFamily Medicine Physician$0$45.3M
    Options Counseling Services Of OregonORMental Health Counselor$0$25.9M
    Eugene Emergency Physicians PCOREmergency Medicine Physician$0$16.9M
    Center For Family Development, Inc.ORMental Health Counselor$0$15.6M
    Laurel Hill CenterOREyewear Supplier$0$14M
    Looking Glass Community ServicesORMental Health Counselor$0$13.5M
    PeacehealthORGeneral Acute Care Hospital$0$13.3M
    Addiction Counseling And Education Services Inc.ORMental Health Counselor$0$12.8M
    Oregon Eye Consultants LLCOROphthalmology Physician$0$9.6M
    Ch Mh Services (or), LLCORMental Health Clinic/Center (Including Community Mental Health Center)$0$9.4M

    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. Oregon Distribution
    Simona Braun — 8 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oregon
    Medicaid Revenue by Year vs. Oregon Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Oregon Distribution
    Simona Braun — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oregon