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    OpenPayerNPI Medicare & MedicaidGlenda Collins
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    Glenda Collins — Billing Profile & Reimbursement Data

    NPI 1104396209 · Aiken, SC · Family Nurse Practitioner

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    Glenda Collins is a family nurse practitioner provider located in Aiken, South Carolina. This profile covers 16 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
    OrganizationGlenda Collins
    Address690 Medical Park Dr Ste 300
    CityAiken
    StateSC
    ZIP29801
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedNovember 30, 2018

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

    Payer SourceTotal Paid
    Medicare$2.3M
    Medicaid$0

    Key Findings

    This provider’s billing is effectively single‑payer: lifetime Medicare revenue on file is $2.3M and there is no Medicaid billing on file. The absence of Medicaid billing suggests the practice’s patient mix and reimbursement exposure are concentrated in Medicare rather than split across both public programs.

    Revenue is highly concentrated in a small set of biologic drug codes: the precomputed top three Medicare codes (J3245, J2182, J2357) account for 58.7% of this provider’s total Medicare revenue. Individually those codes represent 24.1% (J3245), 18.6% (J2182), and 16.0% (J2357) of Medicare revenue, indicating most margin and volume depend on regular administration of these high‑cost injectables.

    The top codes point to a specialty biologics/infusion service model rather than general primary care: J3245 (tildrakizumab), J2182 (mepolizumab), and J2357 (omalizumab) are maintenance biologic injections used in dermatology and severe allergic/asthmatic indications. The presence of additional biologics (J0517, J2356, J1569) and infusion codes suggests the practice operates scheduled in‑office injectable and infusion workflows focused on chronic biologic therapy.

    One code shows clearly elevated national standing while others are more modest: J2182 ranks #16 of 187 and is noted as "notably above typical national volume," signaling a near‑top decile national presence for mepolizumab administration. By contrast J3245 (rank #64 of 225, "typical, unremarkable volume") and J2357 (rank #52 of 581, "typical, unremarkable volume") reflect more common volumes for those products at a national level.

    Administration-route activity reinforces the biologics/clinic throughput interpretation: 96372 (intramuscular/subcutaneous injection) has 764 claims, $9 avg paid/claim, $6.9K revenue and is labeled an "extreme outlier, far above typical national volume," indicating unusually high frequency of SC/IM injections relative to peers. High ranks for infusion administration codes (96365 rank in the 95th percentile and 96366 in the 93rd percentile) further support a mixed SC and IV in‑office administration capability.

    Although IV infusion and chemotherapy add-ons appear in the claims set (examples include 96365, 96366, 96413 and J1745), these services collectively make up small shares of revenue (each under 1% of total Medicare revenue). Their presence shows the practice can deliver IV infusions but that injectable biologics are the primary revenue drivers.

    Operational and commercial implications: with $2.3M in Medicare revenue driven largely by a few maintenance biologic drugs, the provider’s financial performance is sensitive to changes in biologic utilization, reimbursement for those specific codes, and patient retention for scheduled dosing. The lack of Medicaid billing increases reliance on Medicare fee schedules and negotiated prices for specialty drugs.

    The provider has an established enrollment history (NPI enumerated 2018-11-30 (~8 years ago)), which, combined with multi‑year biologic billing patterns and significant per‑code volumes (e.g., J2182 18.3K claims, $23 avg paid/claim, $420.9K revenue), indicates a sustained clinic operation focused on recurring biologic administration rather than episodic care.

    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J3245Injection, tildrakizumab, 1 mg5,000$110$545K
    J2182Injection, mepolizumab, 1 mg18,300$20$420.9K
    J2357Injection, omalizumab, 5 mg12,030$30$360.9K
    J0517Injection, benralizumab, 1 mg1,590$130$209.9K
    J2356Injection, tezepelumab-ekko, 1 mg13,230$10$185.2K
    J1569Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg4,650$40$167.4K
    J0897Injection, denosumab, 1 mg7,440$20$133.9K
    J1306Injection, inclisiran, 1 mg13,060$10$117.6K
    J1745Injection, infliximab, excludes biosimilar, 10 mg2,980$30$77.5K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.470$40$18.3K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J32454203,800$110$435.3K
    J23575304,360$30$183.8K
    J05175201,100$130$180.6K
    J15699203,860$40$161.4K
    J21821105,050$20$146.9K
    J23561107,140$10$109.9K
    J174528503,250$30$107K
    J13065208,800$10$95.1K
    J0897482502,400$20$91.2K
    9641388150140$90$22.1K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Palmetto Infusion Services LLCSCInfusion Therapy Clinic/Center$0$93.6M
    Kristi HunterGAGeneral Practice Physician$6.4M$0
    Rachel TedescoNCNurse Practitioner$5.7M$0
    Stephen ParksSCFamily Medicine Physician$3.9M$0
    Lindsay GambleSCFamily Nurse Practitioner$3.7M$0
    Lisa SaulsSCFamily Nurse Practitioner$3.4M$0
    Rosalee UnwinSCFamily Nurse Practitioner$2.9M$0
    Whitley WeatherfordSCFamily Nurse Practitioner$2.7M$0
    James MontgomerySCGynecology Physician$1.9M$0
    Eliza ShinallGAFamily Nurse Practitioner$1.5M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tri-development Center Of Aiken County, Inc.SCCognitive & Behavioral Psychologist$0$39.6M
    Aiken Regional Medical Centers LLCSCGeneral Acute Care Hospital$0$31.5M
    South Carolina Dept Of Mental Health Accounting OfficeSCMental Health Clinic/Center (Including Community Mental Health Center)$0$19.9M
    Sound Physicians Emergency Medicine Of South Carolina LLCSCEmergency Medicine Physician$0$14.2M
    Regency Hospice Of Georgia, LLCSCCommunity Based Hospice Care Agency$0$12M
    Rural Health Services, IncSCFederally Qualified Health Center (FQHC)$0$10.3M
    Children's Place, IncSCCommunity/Behavioral Health Agency$0$6.8M
    Southern Home Care Services, Inc.SCIn Home Supportive Care Agency$0$6.6M
    Aiken CountySCAmbulance$1.1M$2.4M
    Aiken Dental AssociatesSCGeneral Practice Dentistry$0$3.3M

    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
    Glenda Collins — 3 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina