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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSeth Six
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    Seth Six — Billing Profile & Reimbursement Data

    NPI 1164039988 · Casa Grande, AZ · Nurse Practitioner

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    Seth Six is a nurse practitioner provider located in Casa Grande, Arizona. 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
    OrganizationSeth Six
    Address560 N Camino Mercado Ste 7
    CityCasa Grande
    StateAZ
    ZIP85122
    TaxonomyNurse Practitioner
    NPI EnumeratedSeptember 25, 2020

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

    Payer SourceTotal Paid
    Medicare$269.4K
    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
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…1,660$70$109.8K
    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…860$100$83.7K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…500$50$22.6K
    99316The provider sees a patient for nursing facility discharge management requiring more than 30 minutes.240$80$20.2K
    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…390$50$18.9K
    99498The provider or other healthcare professional performs advanced care planning beyond an initial 30 minutes. The provider discusses and shares planning for the future health care needs of the patient…110$50$5.2K
    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…60$80$5.2K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit10$110$1.4K
    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$60$1.1K
    G0446Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes20$20$460

    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
    9930920440220$70$32.4K
    99310924080$110$22.6K
    992146,86610,410120$80$20.6K
    9930846300130$50$16K
    G04392,2242,36060$120$12.3K
    992138,5389,60080$60$9.6K
    994972172050$60$5.6K
    99316110030$90$5.5K
    G044616720060$20$2.2K
    9949833020$50$2.1K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Banner Hospital Based Physicians Arizona LLCAZMulti-Specialty Clinic/Center$0$77.8M
    Emergency Physicians Southwest, PCAZEmergency Medicine Physician$0$27M
    Good Health Medical, PLLCAZFamily Medicine Physician$0$16.4M
    Eric OgariAZFamily Nurse Practitioner$6.9M$0
    Joshua CarlsonUTRetina Specialist (Ophthalmology) Physician$2.6M$0
    Migaela ReedyAZAcute Care Nurse Practitioner$2M$0
    Hani RashidAZRheumatology Physician$1.9M$0
    Benjamin BensonAZDiagnostic Radiology Physician$1.3M$0
    Amer Al-khoudariAZRheumatology Physician$1.2M$0
    Arun KolliAZClinical Cardiac Electrophysiology Physician$1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sun Life Family Health Center, Inc.AZFederally Qualified Health Center (FQHC)$0$76.7M
    Southwest Ambulance Of Casa Grande, Inc.AZLand Ambulance$2M$59M
    Banner HealthAZGeneral Acute Care Hospital$0$55M
    Helping Associates IncAZMental Health Clinic/Center (Including Community Mental Health Center)$0$18.8M
    Sun Life Family Health Center, Inc.AZFederally Qualified Health Center (FQHC)$0$12.9M
    Banner Urgent Care Arizona LLCAZUrgent Care Clinic/Center$0$10.6M
    Bhsm Rehabilitation LLCAZPhysical Therapy Clinic/Center$0$10.3M
    Corazon Inc.AZMental Health Counselor$0$9.8M
    Community Medical Services Arizona-private, LLCAZMethadone Clinic$0$7.8M
    Robert McdonaldAZDiagnostic Radiology Physician$7.5M$0

    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. Arizona Distribution
    Seth Six — 4 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona