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    OpenPayerNPI Medicare & MedicaidTheresa Hoffman
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    Theresa Hoffman — Billing Profile & Reimbursement Data

    NPI 1992786198 · Fort Wayne, IN · Family Medicine Physician

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    Theresa Hoffman is a family medicine physician provider located in Fort Wayne, Indiana. This profile covers 14 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
    OrganizationTheresa Hoffman
    Address10215 Auburn Park Dr
    CityFort Wayne
    StateIN
    ZIP46825
    TaxonomyFamily Medicine Physician
    NPI EnumeratedNovember 7, 2005

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

    Payer SourceTotal Paid
    Medicare$15.7K
    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.

    14 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…120$50$6.5K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit30$120$3.7K
    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…60$40$2.1K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.80$10$640
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.30$10$440
    80051The lab analyst performs an electrolyte panel; this panel must include measurement of carbon dioxide, chloride, potassium, and sodium.60$10$440
    82565The lab analyst measures the amount of creatinine in a patient specimen, typically of blood. Creatinine is the waste material generated by the muscle tissue produced from the breakdown of creatine…60$10$320
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…30$10$300
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…20$20$270
    G0444Annual depression screening, 5 to 15 minutes20$20$260

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992145,00410,540110$80$15.5K
    G04391,7172,43060$120$10.1K
    8444316019070$20$8.6K
    992136,17210,82080$50$7.6K
    8006115523070$10$7.3K
    84460324080$10$3K
    84450324080$10$2.8K
    364159231,73090$10$2.2K
    G044438645050$20$1.3K
    830368971,46040$10$1.1K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Indiana University Health Southern Indiana Physicians, LLCINMulti-Specialty Clinic/Center$0$69.5M
    Indiana University Health Ball Memorial Physicians, Inc.INFamily Medicine Physician$0$26M
    Lutheran Medical Group LLCINCardiovascular Disease Physician$0$21.9M
    Nephrology Associates Of Northern Indiana, IncINNephrology Physician$0$3.3M
    Gordon HughesINRheumatology Physician$2M$0
    Steven KoINRheumatology Physician$1.2M$0
    Karen RingwaldINRheumatology Physician$1.1M$0
    Anil RaoINRheumatology Physician$812.9K$0
    Monica ReddyINRheumatology Physician$764.6K$0
    Andrew OfferleINEmergency Medicine Physician$310.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    A.i.d. Residential Services, LLCINIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$16.4M
    Familia Dental Fort Wayne PLLCINDental Clinic/Center$0$8.7M
    Lakewood Family Dental IncINDentist$0$8.7M
    Associated Surgeons And Physicians, LLCINObstetrics & Gynecology Physician$0$8.5M
    Orthopaedics Northeast PCINOrthopaedic Surgery Physician$0$6.6M
    Hand In Hand Comprehensive Therapy Specialists IncINOccupational Therapist$0$6.4M
    Kids.healthcare PCINPediatrics Physician$0$4.8M
    Steppin Up Physical Therapy, Inc.INPhysical Therapist$0$4.6M
    Mobile Medical Maintenance, LLCINDurable Medical Equipment & Medical Supplies$0$4.3M
    Dupont Hospital LLCINGeneral Acute Care Hospital$0$3.8M

    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. Indiana Distribution
    Theresa Hoffman — 0 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana