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    OpenPayerNPI Medicare & MedicaidCourtney Williams
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    Courtney Williams — Billing Profile & Reimbursement Data

    NPI 1124586573 · Westminster, CO · Family Nurse Practitioner

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    Courtney Williams is a family nurse practitioner provider located in Westminster, Colorado. This profile covers 3 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
    OrganizationCourtney Williams
    Address12061 Tejon St Ste 600
    CityWestminster
    StateCO
    ZIP80234
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedMarch 5, 2019

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

    Payer SourceTotal Paid
    Medicare$4.1M
    Medicaid$0

    Key Findings

    This provider’s Medicare footprint is the dominant — and effectively only — payer-level activity on file: total Medicare revenue is $4.1M while there is no Medicaid billing on file, making this an effectively single‑payer (Medicare) profile for the periods covered. The absence of Medicaid claims means there is minimal to no state-program diversification in the revenue mix.

    Revenue is extremely concentrated in a single service line: the precomputed top‑3 Medicare codes account for 100.0% of the provider’s Medicare revenue, with one code alone representing 99.9% of that total. That concentration implies the provider’s Medicare economics are driven almost entirely by a single billing category rather than a diversified portfolio of office visits or therapy services.

    The primary business activity is the provision of nonprescription, self‑administered COVID‑19 tests: code K1034 shows 346.6K claims at $12 avg paid/claim for $4.2M in revenue (99.9% of the provider’s Medicare revenue). This code mix indicates an operation oriented toward high‑volume test provisioning or distribution to Medicare beneficiaries rather than a traditional primary‑care visit model.

    Other clinical services are present but negligible in dollar terms: 97110 (therapeutic exercise) shows 231 claims, $19 avg paid/claim and $4.4K revenue (0.1% of Medicare revenue), and 99213 (established patient E/M) shows 19 claims, $47 avg paid/claim and $893 revenue (0.0%). These volumes and dollar amounts are tiny compared with K1034 and suggest limited ongoing revenue from in‑person evaluation/management or rehabilitative therapy.

    Competitive standing for the dominant service is national and exceptional: K1034 ranks #102 of 30143 providers nationally and is labeled an "extreme outlier, far above typical national volume for this code" (100th percentile). In plain terms, this provider is a major national volume outlier for COVID‑19 test provision compared with peers.

    By contrast, the provider’s activity on the other two Medicare codes is modest to low relative to peers: 97110 ranks #58858 of 79999 (26th percentile, described as typical/unremarkable) and 99213 ranks #405177 of 457151 (10th percentile, described as typical/unremarkable). Those rankings indicate the provider is a modest participant for therapeutic exercise and a low‑volume participant for standard E/M visits versus national peers.

    Tenure is relatively recent but established: the provider’s NPI was enumerated on 2019-03-05 (~7 years ago), indicating several years of enrollment during which the large COVID‑test volume was reported. This tenure supports that the observed billing pattern is not from a single, short‑lived reporting period.

    The combination of near‑total dependence on K1034 and no Medicaid billing creates clear operational and reimbursement concentration risk: any Medicare policy, coverage, or reimbursement change that affects payment for nonprescription self‑administered COVID‑19 tests could materially change the provider’s revenue, and there is little offsetting Medicaid activity to soften such an impact. Analysts should treat revenue and utilization trends for K1034 as the primary drivers of this provider’s financial and competitive profile.

    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.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count346,580$10$4.2M
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…230$20$4.4K
    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…20$50$890

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    3 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    K10342420260$10$68.9K
    971101,0991,840310$20$8.3K
    992136,2427,20070$60$6.6K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tamara JohnsonNEFamily Medicine Physician$20.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    North Metro Community Services, Inc.CODevelopmentally Disabled Services Day Training Agency$0$107.8M
    Choice Home Care, LLCCOIn Home Supportive Care Agency$0$34.3M
    Evergreen Home Healthcare, LLCCOIn Home Supportive Care Agency$0$28.6M
    Trust Home Care, LLCCOHome Health Agency$0$14.4M
    Vitalcare CorporationCOHome Health Agency$0$11M
    Childrens Therapy Services Of Colorado, Inc.COSpeech-Language Pathologist$0$9.9M
    C & D Choices, IncCOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$9.6M
    Trust Home Care, LLCCOHome Health Agency$0$9.1M
    North Metro Community Services, IncCOCase Management Agency$0$7.6M
    North Metro Community Services, IncCODevelopmentally Disabled Services Day Training Agency$0$6.5M

    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. Colorado Distribution
    Courtney Williams — 1 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado