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    v1.0.28
    OpenPayerNPI Medicare & MedicaidCarol Lawrence
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    Carol Lawrence — Billing Profile & Reimbursement Data

    NPI 1013000298 · Dalton, GA · Registered Nurse

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    Carol Lawrence is a registered nurse provider located in Dalton, Georgia. This profile covers 4 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
    OrganizationCarol Lawrence
    Address1200 Memorial Dr
    CityDalton
    StateGA
    ZIP30720
    TaxonomyRegistered Nurse
    NPI EnumeratedOctober 2, 2006

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

    Payer SourceTotal Paid
    Medicare$21.4K
    Medicaid$5.9K

    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.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    01940The provider performs anesthesia services for a patient undergoing percutaneous image–guided destruction procedures using a neurolytic agent. The anatomic area for the procedure is…110$100$10.4K
    01992The provider performs anesthesia services for a patient undergoing a diagnostic or therapeutic nerve block or injection that a different provider performs. The provider performs this procedure with…50$100$5.1K
    01939The provider performs anesthesia services for a patient undergoing percutaneous image–guided destruction procedures using a neurolytic agent. The anatomic area for the procedure is the cervical or…40$100$4.2K
    01942The provider performs anesthesia services for a patient undergoing percutaneous image–guided neuromodulation procedures (altering nerve activity through stimulation) or intravertebral procedures…10$160$1.8K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    4 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    01992177030$100$4.5K
    0194038030$90$3.5K
    01942263020$120$3.4K
    0193944020$90$2.1K

    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
    01936Deleted effective Jan. 1, 2022180$30$5.8K
    01992The provider performs anesthesia services for a patient undergoing a diagnostic or therapeutic nerve block or injection that a different provider performs. The provider performs this procedure with…20$20$240

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Georgia median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    01936Deleted effective Jan. 1, 2022210180$30$7.8K
    01992The provider performs anesthesia services for a patient undergoing a diagnostic or therapeutic nerve block or injection that a different provider performs. The provider performs this procedure with…31020$20$590

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Reginald SherrillGAPlastic Surgery Physician$154.6K$0
    Daniel GacharnaTNCertified Registered Nurse Anesthetist$112K$0
    Bradley KellerTNCertified Registered Nurse Anesthetist$27.8K$10.8K
    Donald ShinskieMSCertified Registered Nurse Anesthetist$29.4K$0
    Amy KlaehnTNCertified Registered Nurse Anesthetist$19.2K$6.9K
    Jason CastroTNCertified Registered Nurse Anesthetist$6.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Highland Rivers Community Service BoardGACommunity/Behavioral Health Agency$0$44.1M
    White's PediatricsGAPediatrics Physician$0$25.1M
    Family And Children First LLCGACommunity/Behavioral Health Agency$0$19.5M
    Hamilton Physician Group IncGACardiovascular Disease Physician$0$5.9M
    Pediatrics Of Dalton, PAGASpecialist$0$5.5M
    Dalton Ear Nose & Throat AssociatesGAOtolaryngology Physician$0$4M
    Skin Cancer & Cosmetic Dermatology Center, PCGADermatology Physician$0$3.4M
    John ChungGAMOHS-Micrographic Surgery Physician$2.5M$0
    Hamilton Emergency Medical ServicesGALand Ambulance$1.2M$0
    Hosam Saad-naguibGAHematology & Oncology Physician$1M$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. Georgia Distribution
    Carol Lawrence — 1 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia
    Medicaid Revenue by Year vs. Georgia Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Georgia Distribution
    Carol Lawrence — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia