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    OpenPayerNPI Medicare & MedicaidKim Higgins
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    Kim Higgins — Billing Profile & Reimbursement Data

    NPI 1023209525 · Hurst, TX · Geriatric Medicine (Family Medicine) Physician

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    Kim Higgins is a geriatric medicine (family medicine) physician provider located in Hurst, Texas. This profile covers 13 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
    OrganizationKim Higgins
    Address860 Airport Fwy Ste 525
    CityHurst
    StateTX
    ZIP76054
    TaxonomyGeriatric Medicine (Family Medicine) Physician
    NPI EnumeratedAugust 8, 2007

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

    Payer SourceTotal Paid
    Medicare$177.7K
    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99349The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…470$90$41.6K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit200$130$25.4K
    99491The provider, a physician or other healthcare professional, personally directs the evaluation and management of a patient with two or more chronic A physician or other qualified healthcare…370$70$24.8K
    99350The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…130$140$17.4K
    G0179Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and…440$30$14.2K
    99497The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…220$60$13.2K
    99483The provider performs a thorough assessment of a cognitively impaired patient’s understanding, comprehension, memory, and reasoning; obtains a history; reviews the patient’s medication lists and…50$200$10.5K
    G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review…190$40$8.1K
    G0182Physician supervision of a patient under a medicare-approved hospice (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or…90$80$7.1K
    G0181Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and…80$80$6.3K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9935027068090$120$24.4K
    993491381,050100$80$19.5K
    G018115937060$70$12.6K
    994835915040$190$12.5K
    G04397257,11060$120$10.6K
    G0182102070$70$8.2K
    99491912060$60$7.3K
    9934821978060$50$6K
    9934522531030$130$5.5K
    994971772,40040$60$4.8K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Deborah McknightTXAdult Health Nurse Practitioner$203.8K$0
    Christy JonesTXFamily Nurse Practitioner$189.6K$0
    Aaron CainTXNurse Practitioner$180.5K$0
    Darian BradfordTXFamily Nurse Practitioner$98K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Texas Eye Surgery Center, LLCTXAmbulatory Surgical Clinic/Center$1.8M$0
    Hurst Ambulatory Surgery Center, LLCTXAmbulatory Surgical Clinic/Center$890.4K$270
    Gang HuTXOphthalmology Physician$719.6K$0
    Steven MorrellTXGeneral Practice Physician$136.2K$0
    Roy TurnerTXGeneral Practice Physician$133.3K$0
    Victor LongoTXDiagnostic Radiology Physician$106K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Texas Distribution
    Kim Higgins — 2 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas