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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSharon Johnson
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    Sharon Johnson — Billing Profile & Reimbursement Data

    NPI 1104068840 · Columbia, SC · Family Nurse Practitioner

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    Sharon Johnson is a family nurse practitioner provider located in Columbia, South Carolina. This profile covers 14 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
    OrganizationSharon Johnson
    Address111 Doctor Cir
    CityColumbia
    StateSC
    ZIP29203
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedMarch 26, 2009

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

    Payer SourceTotal Paid
    Medicare$319.7K
    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.

    14 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…2,070$80$163.4K
    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…1,690$40$62.5K
    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…570$50$29.4K
    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…510$50$24.3K
    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$12.3K
    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$8K
    99439The 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…230$30$6.8K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit50$110$5.7K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…30$70$2.2K
    G0008Administration of influenza virus vaccine50$30$1.4K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9948937340360$50$41.4K
    993498530240$80$30.4K
    994871735080$80$15.7K
    G04391,1411,87080$120$14.5K
    9935019621040$120$9.9K
    9949017065080$40$8.9K
    906629091,37050$70$5.5K
    994976771050$60$5K
    993481032040$50$4.1K
    994393641050$30$3.4K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sc House Calls IncSCFamily Medicine Physician$0$11.6M
    Lisa SaulsSCFamily Nurse Practitioner$3.4M$0
    Joel WaldropSCEmergency Medicine Physician$2.4M$9.3K
    Andrew DonatoSCEmergency Medicine Physician$2.3M$8.9K
    Kenneth BeckerSCFamily Medicine Physician$1.2M$0
    Jonathan MaconSCInternal Medicine Physician$911.1K$0
    Adediji OsinloyeNCInternal Medicine Physician$909.6K$0
    Julia BrownSCFamily Nurse Practitioner$742.9K$0
    Aundrea BrowningSCFamily Nurse Practitioner$692.9K$0
    Otis SpeightSCEmergency Medicine Physician$683.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Prisma Health Medical Group-midlandsSCMulti-Specialty Clinic/Center$0$77.6M
    Prisma Health-midlandsSCGeneral Acute Care Hospital$0$74.6M
    Prisma Health-midlandsSCGeneral Acute Care Hospital$0$68.3M
    South Carolina Department Of Mental Health Accounting OfficeSCMental Health Clinic/Center (Including Community Mental Health Center)$0$36M
    Carolina Pediatrics & Adolescent Care, PASCPediatrics Physician$0$12.3M
    Prisma Health Medical Group-midlandsSCOrthopaedic Surgery Physician$0$8.7M
    Prisma Health-midlandsSCGeneral Acute Care Hospital$0$7.4M
    Prisma Health-midlandsSCEmergency Medicine Physician$0$6.8M
    Prisma Health Medical Group-midlandsSCDevelopmental - Behavioral Pediatrics Physician$0$5.9M
    Lexington Richland Alcohol & Drug Abuse Council, Inc.SCSubstance Use Disorder Rehabilitation Clinic/Center$0$5.3M

    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 Carolina Distribution
    Sharon Johnson — 3 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina