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    v1.0.28
    OpenPayerNPI Medicare & MedicaidTerry Hammond
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    Terry Hammond — Billing Profile & Reimbursement Data

    NPI 1124064845 · American Fork, UT · Nephrology Physician

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    Terry Hammond is a nephrology physician provider located in American Fork, Utah. This profile covers 23 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
    OrganizationTerry Hammond
    Address1175 E 50 S Ste 161
    CityAmerican Fork
    StateUT
    ZIP84003
    TaxonomyNephrology Physician
    NPI EnumeratedJune 21, 2006

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

    Payer SourceTotal Paid
    Medicare$188.7K
    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.

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    90960The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…340$270$91.1K
    90966The provider manages all the physician related services for one full month for the home dialysis care of a patient who is 20 years old or older and has a condition known as end stage renal disease,…100$220$21K
    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…220$80$17.8K
    90961The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the…50$220$11.2K
    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…80$130$10.4K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…80$90$7.1K
    83970Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function.130$40$5.3K
    99205The provider sees a new 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 provider…30$160$4.8K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…70$60$4K
    99204The provider sees a new 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 provider…30$120$3.4K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    90960140120$270$34.1K
    90966910110$220$23.2K
    992148294,08080$80$11.6K
    90961144040$210$10.8K
    9923320870050$90$7.9K
    992152851,19040$110$7.5K
    9923237988060$60$6.1K
    9922365876030$130$4.9K
    8397085030$40$4.5K
    992047961,79030$100$4.1K

    Showing 1–10 of 23

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Revere Health PCUTMulti-Specialty Clinic/Center$0$24M
    Joseph TeUTHematology & Oncology Physician$1.6M$0
    Brandt EsplinUTHematology & Oncology Physician$1.1M$0
    Jamison JonesUTCardiovascular Disease Physician$1M$0
    Steven WallentineUTHematology & Oncology Physician$1M$7.6K
    Robert DowseUTPediatrics Physician$0$867K
    David SladeUTOphthalmology Physician$651.1K$0
    Marc NuttallUTHematology & Oncology Physician$549.1K$580
    Leslee AdamsUTFamily Nurse Practitioner$513.4K$0
    David CragunUTCardiovascular Disease Physician$465.1K$940

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ihc Health Services, Inc.UTGeneral Acute Care Hospital$0$17.2M
    Alpine School DistrictUTLocal Education Agency (LEA)$0$8.4M
    Star KidsUTHome Health Agency$0$5M
    American Fork City CorporationUTLand Ambulance$188.3K$2.8M
    Alliance Youth ServicesUTFoster Care Agency$0$2.5M
    Smith And Macdonald Pediatric DentistryUTPediatric Dentistry$0$2.3M
    North Valley Emergency Physicians LcUTEmergency Medical Services (Emergency Medicine) Physician$0$1.5M
    Michael WhitingUTPediatric Adolescent Medicine Physician$0$827.1K
    Chad GollaherUTPediatric Dentistry$0$759.4K
    David MacdonaldUTPediatric Dentistry$0$729.9K

    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. Utah Distribution
    Terry Hammond — 1 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah