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    v1.0.28
    OpenPayerNPI Medicare & MedicaidAmelia Albachten
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    Amelia Albachten — Billing Profile & Reimbursement Data

    NPI 1093169302 · Grand Rapids, MI · Nurse Practitioner

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    Amelia Albachten is a nurse practitioner provider located in Grand Rapids, Michigan. This profile covers 17 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
    OrganizationAmelia Albachten
    Address770 Kenmoor Ave Se
    CityGrand Rapids
    StateMI
    ZIP49546
    TaxonomyNurse Practitioner
    NPI EnumeratedApril 22, 2016

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

    Payer SourceTotal Paid
    Medicare$119.6K
    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.

    17 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…730$80$56K
    99487The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…130$80$10.5K
    99493A provider performs psychiatric collaborative care management (CoCM) for a patient receiving behavioral health treatment and regular psychiatric interspecialty consultation in collaboration and in…90$90$8.1K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…200$40$7.6K
    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…40$160$6.4K
    99489The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…140$50$6.3K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit50$100$5.2K
    99344The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider spends at least…50$90$4.4K
    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…50$70$3.4K
    99496The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…20$180$3K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    993493954090$80$17.9K
    9949372060$100$15.4K
    994872910080$90$15K
    994892670110$50$13.2K
    99490124450100$50$10.4K
    99483307030$180$8.6K
    9943913118060$40$8.4K
    9949462060$40$7.1K
    G04391,9114,10050$100$6.6K
    9934840747060$50$6.5K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Reed City Hospital CorporationMICritical Access Hospital$0$15M
    Jennifer PaulsonMIAdult Health Nurse Practitioner$312.8K$0
    Davidson CurwenTNPhysical Medicine & Rehabilitation Physician$258.2K$0
    Jennifer MorseMIFamily Medicine Physician$229.3K$0
    Brandon WeberMIPhysician Assistant$205K$0
    Kristin HallMIFamily Nurse Practitioner$171.4K$0
    Matthew BashamMINurse Practitioner$158.1K$0
    Sharon HurtadoMINurse Practitioner$152.9K$0
    Patricia McclanahanMIFamily Nurse Practitioner$148.8K$0
    Kelly ShankOHAdult Health Nurse Practitioner$140.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Reliance Community Care PartnersMICase Management Agency$0$145.4M
    Dental Group Associates PCMIPediatric Dentistry$0$16.1M
    Pediatric Dental Specialists Of West MichiganMIPediatric Dentistry$0$11M
    Michigan Pain Consultants PCMIPain Medicine (Anesthesiology) Physician$0$9.9M
    Mitten Kids Dentistry Cascade PlcMIPediatric Dentistry$0$7.2M
    Carepoint Dental Anesthesia Group Of Michigan, PLLCMIDental Anesthesiology$0$6.4M
    Retina Specialists Of Michigan PCMIRetina Specialist (Ophthalmology) Physician$0$5.5M
    Kathleen DehornMIOphthalmology Physician$1.7M$0
    Jeffrey ZheutlinMIOphthalmology Physician$1.5M$0
    Nathan PezdaMIRetina Specialist (Ophthalmology) Physician$1.1M$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. Michigan Distribution
    Amelia Albachten — 0 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan