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NPI 1023304201 · Butler, PA · Family Nurse Practitioner
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Jeanine Wigton is a family nurse practitioner provider located in Butler, Pennsylvania. This profile covers 12 Medicare and 17 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Jeanine Wigton |
| Address | 250b Butler Cmns |
| City | Butler |
| State | PA |
| ZIP | 16001 |
| Taxonomy | Family Nurse Practitioner |
| NPI Enumerated | June 25, 2011 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $1.1M |
| Medicare | $40.1K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| J7320 | Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg | 3,600 | $10 | $18K |
| 20610 | In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a… | 120 | $50 | $5.9K |
| 99214 | The 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… | 90 | $60 | $5.6K |
| 99213 | The 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… | 80 | $40 | $3.6K |
| 99204 | The provider sees a new 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 provider… | 30 | $80 | $2.7K |
| 99203 | The provider sees a new 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 provider… | 40 | $60 | $2.3K |
| 87811 | The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by… | 20 | $40 | $740 |
| 87804 | The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings. | 30 | $20 | $450 |
| 80305 | The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes… | 30 | $10 | $320 |
| 87880 | The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab. | 10 | $20 | $210 |
Showing 1–10 of 12
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
12 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J7320 | 3 | 10 | 2,570 | $10 | $96.8K |
| 99214 | 12,657 | 23,230 | 100 | $80 | $14.5K |
| 99213 | 9,972 | 22,370 | 70 | $60 | $7.7K |
| 20610 | 665 | 1,980 | 60 | $50 | $6.7K |
| 99204 | 4,560 | 10,290 | 30 | $110 | $5K |
| 99203 | 3,116 | 7,330 | 30 | $70 | $3.5K |
| 71046 | 1,484 | 1,700 | 70 | $10 | $1.6K |
| 87811 | 310 | 520 | 20 | $40 | $1.2K |
| 87804 | 219 | 380 | 30 | $20 | $700 |
| 80305 | 94 | 190 | 30 | $10 | $520 |
Showing 1–10 of 12
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
17 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| G9012 | Other specified case management service not elsewhere classified | 2,240 | $290 | $640.9K |
| 99214 | The 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… | 3,220 | $60 | $196.2K |
| 99213 | The 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… | 2,160 | $50 | $97K |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 3,010 | $30 | $96.3K |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | 390 | $40 | $16.9K |
| 99203 | The provider sees a new 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 provider… | 210 | $80 | $16.4K |
| 99204 | The provider sees a new 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 provider… | 130 | $120 | $15.3K |
| G9008 | Coordinated care fee, physician coordinated care oversight services | 80 | $170 | $12.8K |
| 87426 | The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,… | 380 | $30 | $12.4K |
| 80305 | The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes… | 740 | $10 | $8.8K |
Showing 1–10 of 17
How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Pennsylvania median
17 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| G9012 | Other specified case management service not elsewhere classified | 88 | 320 | 770 | $260 | $758K |
| 99214 | The 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… | 616 | 8,160 | 210 | $60 | $68.4K |
| 99213 | The 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… | 1,094 | 8,870 | 240 | $40 | $56.1K |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 57 | 500 | 520 | $30 | $42.1K |
| 99204 | The provider sees a new 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 provider… | 498 | 1,410 | 60 | $90 | $30.5K |
| 99203 | The provider sees a new 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 provider… | 492 | 1,620 | 80 | $60 | $28.4K |
| G9008 | Coordinated care fee, physician coordinated care oversight services | 45 | 70 | 130 | $170 | $27.3K |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | 39 | 70 | 440 | $40 | $25.5K |
| 80305 | The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes… | 97 | 310 | 280 | $10 | $18.8K |
| 71046 | In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and… | 750 | 850 | 220 | $10 | $17.9K |
Showing 1–10 of 17
Other providers in the same ZIP code as Jeanine Wigton, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Vocational Services | PA | Psychologist | $0 | $22.4M |
| Center For Community Resources, Inc. | PA | Case Management Agency | $0 | $19M |
| Butler Healthcare Providers | PA | General Acute Care Hospital | $0 | $10.4M |
| Family Pathways | PA | Community/Behavioral Health Agency | $0 | $6.7M |
| Butler Ambulance Service Co | PA | Ambulance | $446.9K | $2.2M |
| Butler Ambulatory Surgery Center L L C | PA | Ambulatory Surgical Clinic/Center | $680.6K | $24.7K |
| David Cowan | PA | Dermatology Physician | $175.8K | $31.6K |
| Keith Welker | PA | Specialist | $147.5K | $48.1K |
| Shripal Shrishrimal | PA | Pulmonary Disease Physician | $80.1K | $40.1K |
| Dennis Dobrzynski | PA | Hematology & Oncology Physician | $92.1K | $26.6K |
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