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    OpenPayerNPI Medicare & MedicaidMary Plattner
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    Mary Plattner — Billing Profile & Reimbursement Data

    NPI 1124005426 · Laredo, TX · Family Nurse Practitioner

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    Mary Plattner is a family nurse practitioner provider located in Laredo, Texas. This profile covers 22 Medicare and 37 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMary Plattner
    Address2344 Laguna Del Mar Ct Ste 104
    CityLaredo
    StateTX
    ZIP78041
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedDecember 28, 2005

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

    Payer SourceTotal Paid
    Medicare$100.4K
    Medicaid$97K

    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.

    22 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…370$70$26.6K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…340$50$16.4K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit120$110$12.1K
    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…140$60$9.1K
    99443N/A110$80$8.5K
    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…40$180$6.3K
    G0506Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)150$30$3.8K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…460$10$3.6K
    99442N/A60$50$3K
    87635Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…60$50$3K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992145,57832,500110$80$17.6K
    G04391,7517,11060$120$10.6K
    992133,17529,79070$60$8.4K
    9949621295020$190$6.1K
    876359042030$50$5.4K
    994973372,40040$60$4.8K
    994435874020$80$4.2K
    G05062120040$40$2.9K
    994421511,12020$60$2.2K
    930002,5164,79050$10$1.6K

    Showing 1–10 of 22

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    37 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99444N/A890$50$47.3K
    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…1,090$20$20.7K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…820$20$17.2K
    99421Using online communication technologies, a physician or other qualified healthcare professional discusses a health issue and possible treatment or management with an established patient. This code…330$20$5.3K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…470$10$3.7K
    99310The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…330$1$980
    87635Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…10$50$710
    87804The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.40$10$520
    36410In this procedure, the provider inserts a needle into a vein to withdraw blood or infuse a drug for a patient who is three years old or older.130$1$510
    G0506Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)60$10$390

    Showing 1–10 of 37

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Texas median

    37 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…2,8866,040710$40$232.8K
    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…2,1905,810540$50$155.5K
    99444N/A1282101,220$50$121.2K
    87635Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…795850260$40$77.5K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…9681,010140$70$77.3K
    87804The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.1,6731,850510$10$48.3K
    99310The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…96220200$10$14.2K
    36410In this procedure, the provider inserts a needle into a vein to withdraw blood or infuse a drug for a patient who is three years old or older.3860180$10$11.6K
    99421Using online communication technologies, a physician or other qualified healthcare professional discusses a health issue and possible treatment or management with an established patient. This code…3880280$10$9.9K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…5081,390230$10$8.7K

    Showing 1–10 of 37

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Selena StuartTXHematology & Oncology Physician$1.6M$0
    Clement YehTXAnesthesiology Physician$290.5K$0
    Mahan OstadianTXPain Medicine (Anesthesiology) Physician$244.9K$0
    Steven MelcherTXFamily Medicine Physician$171.5K$0
    Muhammad ChoudhryTXEndocrinology, Diabetes & Metabolism Physician$166.9K$0
    Ashwini KumarTXSurgery Physician$141.7K$0
    Fermin Romero-arreolaTXThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$98K$39.5K
    Nelson UzquianoTXDiagnostic Radiology Physician$126.4K$0
    Siva MarriORPulmonary Disease Physician$88.1K$0
    Junaid SiddiquiTXGastroenterology Physician$73.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Estrella Provider Services, LLCTXDevelopmentally Disabled Services Day Training Agency$0$58.2M
    Pyra Med Health Services, LLCTXHome Health Agency$0$48.4M
    South Texas Primary Care, Inc.TXHome Health Agency$0$34.7M
    Pw Health Services, LLCTXHome Health Agency$0$29.2M
    M & R Management LLCTXHome Health Agency$0$25.4M
    Mercy Rehab Services IncTXComprehensive Outpatient Rehabilitation Facility (CORF)$0$19.5M
    Laredo Texas Hospital Company LPTXGeneral Acute Care Hospital$0$19.5M
    Gateway Community Health Center, Inc.TXFederally Qualified Health Center (FQHC)$0$12.6M
    Sands Care Health Services, L.c.TXHome Health Agency$0$12.2M
    John BrittonTXOral and Maxillofacial Pathology Dentistry$26.1K$2.3M

    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. Texas Distribution
    Mary Plattner — 1 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas
    Medicaid Revenue by Year vs. Texas Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Texas Distribution
    Mary Plattner — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas