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    v1.0.28
    OpenPayerNPI Medicare & MedicaidEmily Radcliffe
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    Emily Radcliffe — Billing Profile & Reimbursement Data

    NPI 1003232539 · Knoxville, TN · Family Nurse Practitioner

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    Emily Radcliffe is a family nurse practitioner provider located in Knoxville, Tennessee. This profile covers 29 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
    OrganizationEmily Radcliffe
    Address9333 Park West Blvd
    CityKnoxville
    StateTN
    ZIP37923
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedMarch 7, 2014

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

    Payer SourceTotal Paid
    Medicare$117.3K
    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.

    29 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit530$100$53.4K
    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…380$50$17.6K
    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…30$280$8.1K
    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$70$8K
    G0444Annual depression screening, 5 to 15 minutes460$10$6.5K
    G0402Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment40$130$5.3K
    90694This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…60$70$4.7K
    G0008Administration of influenza virus vaccine70$30$1.9K
    91320This code represents a SARS–CoV–2 vaccine product (tris–sucrose formulation) administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 30 mcg/0.3 mL.10$130$1.8K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.150$10$1.2K

    Showing 1–10 of 29

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    29 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992145,80511,370120$80$16.6K
    G0439212,65070$110$11.2K
    9132058766050$130$10.8K
    9921399011,03080$50$8K
    906773981,34020$280$7.9K
    906944971,30050$70$5.7K
    800539761,600160$10$4.3K
    800611,0211,310140$10$4.1K
    844438861,37090$20$3.8K
    364151,4623,310120$10$3.2K

    Showing 1–10 of 29

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Summit Medical Group, PLLCTNInternal Medicine Physician$0$44.5M
    Knoxville Pediatric Associates, P.C.TNPediatrics Physician$0$6.1M
    Michael WattersonNCRheumatology Physician$669.3K$2.6K
    Nila AlsheikILDiagnostic Radiology Physician$332.8K$300.3K
    Jeffrey SummersTNInternal Medicine Physician$624.1K$0
    David SzczesniakOHDiagnostic Radiology Physician$588.2K$0
    Joshua KellermanNJDiagnostic Radiology Physician$525K$0
    Matthew LowranceTNRetina Specialist (Ophthalmology) Physician$502.4K$0
    John D'souzaOHDiagnostic Radiology Physician$470.9K$0
    Nzeadibenma UzochukwuILDiagnostic Radiology Physician$84K$360.8K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Deborah L Curlee Communication Consultants IncTNSpeech-Language Pathologist$0$54.5M
    Rha Health Services Tn LLCTNDevelopmentally Disabled Services Day Training Agency$0$31.7M
    Parkwest Medical CenterTNGeneral Acute Care Hospital$0$30M
    Preferred Care At HomeTNIn Home Supportive Care Agency$0$19M
    Tennessee Ear, Nose & Throat Consultants, PCTNOtolaryngology Physician$0$9.2M
    Nurturing Independence IncTNIn Home Supportive Care Agency$0$5.9M
    Special Care Inc.TNCommunity Based Hospice Care Agency$0$5.1M
    Childhelp, Inc.TNCommunity/Behavioral Health Agency$0$4.8M
    Family Home Care Services, LLCTNIn Home Supportive Care Agency$0$4.7M
    East Tn Human Resource AgencyTNNon-emergency Medical Transport (VAN)$0$3.9M

    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. Tennessee Distribution
    Emily Radcliffe — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee