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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMary Elkins
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    Mary Elkins — Billing Profile & Reimbursement Data

    NPI 1053546226 · Rensselaer, IN · Family Nurse Practitioner

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    Mary Elkins is a family nurse practitioner provider located in Rensselaer, Indiana. This profile covers 11 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
    OrganizationMary Elkins
    Address919 E Grace St
    CityRensselaer
    StateIN
    ZIP47978
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedMay 18, 2009

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

    Payer SourceTotal Paid
    Medicare$32.7K
    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.

    11 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…150$60$9K
    G2087Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month40$180$7.2K
    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…130$50$6K
    99348The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…110$30$3.6K
    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…30$70$1.7K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit20$100$1.6K
    99495The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires at least moderate medical decision making,…10$120$1.5K
    99345The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends at least 75…20$90$1.4K
    G0506Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)20$30$510
    96160The provider administers a questionnaire aimed at helping to identify a specific health risk to a patient, analyzes the results, assigns a score, and documents the findings. Use this code for each…180$1$180

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992144,38910,540110$80$15.5K
    9934936142090$80$13.6K
    G2087102040$220$10.5K
    G04392,2002,43060$120$10.1K
    993489635060$50$4.7K
    994977847040$60$4.5K
    99345538020$120$3.2K
    9949532940020$140$3K
    G0506253030$40$2.4K
    9612714521040$1$250

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Steven DeckerILEmergency Medicine Physician$114.6K$582.8K
    Anthony BekkermanGUEmergency Medicine Physician$49.5K$623.9K
    Margaret MbachuVAFamily Nurse Practitioner$302.7K$0
    Saket SinhaINInternal Medicine Physician$292.1K$0
    Stefan MonevINRheumatology Physician$280.1K$0
    Sandy GibsonILFamily Medicine Physician$57K$211.9K
    Wayne McculloughILPodiatrist$213.6K$0
    Salim Abou JaoudeINPulmonary Disease Physician$202.9K$0
    Gwen BehmINPhysician Assistant$187.4K$0
    Timur KoulievILEmergency Medicine Physician$180K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Franciscan Health Rensselaer, Inc.INCritical Access Hospital$0$4.2M
    Julian Ungar-sargonINNeurology Physician$248.1K$3.6M
    Patrick SheetsINFamily Medicine Physician$861.1K$0
    Tyler EmleyINUrology Physician$152.8K$0
    Garry BradyINGeneral Practice Physician$65.3K$0
    Debra DrescherINAdult Health Nurse Practitioner$34.5K$0
    Robert DarnabyINFamily Medicine Physician$29.3K$0
    Stephen WolfeINNeurology Physician$7.9K$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. Indiana Distribution
    Mary Elkins — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana