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    OpenPayerNPI Medicare & MedicaidRosalee Carroll
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    Rosalee Carroll — Billing Profile & Reimbursement Data

    NPI 1063901122 · Highmore, SD · Family Nurse Practitioner

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    Rosalee Carroll is a family nurse practitioner provider located in Highmore, South Dakota. This profile covers 9 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
    OrganizationRosalee Carroll
    Address200 S Commercial Ave
    CityHighmore
    StateSD
    ZIP57345
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedMay 4, 2018

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

    Payer SourceTotal Paid
    Medicare$9.4K
    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…320$10$2.6K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.200$10$2K
    87428The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…30$50$1.6K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.100$10$1.3K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…80$10$830
    80048The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…70$10$560
    85610Prothrombin time is most commonly measured using the blood plasma. Chemicals like calcium and tissue factor are added to the plasma sample and then the time is noted when the plasma clots. To analyze…70$1$270
    81003The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…110$1$220
    93005The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…20$1$80

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    800616215080$10$2.6K
    800535021070$10$2.2K
    850252625070$10$1.4K
    830367216070$10$1.4K
    800485413050$10$1.3K
    8742821020$50$1K
    856103340120$1$910
    810031411030$1$140
    93005417020$1$120

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sanford Medical CenterSDFamily Medicine Physician$0$68.8M
    Rural Health Care, IncMNFederally Qualified Health Center (FQHC)$0$15.9M
    Rural Health Care, IncMNFederally Qualified Health Center (FQHC)$0$10.1M
    Rural Health Care, IncSDFederally Qualified Health Center (FQHC)$0$4.4M
    Rural Health Care, IncSDFederally Qualified Health Center (FQHC)$0$2.1M
    City Of BrookingsSDMulti-Specialty Clinic/Center$0$1.2M
    Orvar JonssonSDAdvanced Heart Failure and Transplant Cardiology Physician$315.3K$0
    Rural Health Care, Inc.SDFederally Qualified Health Center (FQHC)$0$233.9K
    Tarek MahrousSDInterventional Cardiology Physician$210.6K$0
    Douglas HolumSDFamily Medicine Physician$200.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rural Health Care, Inc.SDFederally Qualified Health Center (FQHC)$0$65.2K

    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. South Dakota Distribution
    Rosalee Carroll — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Dakota