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    v1.0.28
    OpenPayerNPI Medicare & MedicaidNancy Higgins
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    Nancy Higgins — Billing Profile & Reimbursement Data

    NPI 1164522652 · Galloway, NJ · Pulmonary Disease Physician

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    Nancy Higgins is a pulmonary disease physician provider located in Galloway, New Jersey. This profile covers 11 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
    OrganizationNancy Higgins
    Address741 S 2nd Ave
    CityGalloway
    StateNJ
    ZIP08205
    TaxonomyPulmonary Disease Physician
    NPI EnumeratedSeptember 24, 2006

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

    Payer SourceTotal Paid
    Medicare$179.4K
    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.

    11 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…380$110$39.8K
    95811During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more.90$380$34.9K
    95810Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…70$400$29K
    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…290$80$21.4K
    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…130$140$17.3K
    95800A patient undergoes a sleep study with no provider physically present. Parameters recorded include heart rate, blood oxygen concentration, respiratory analysis, and the amount of time sleeping.150$90$12.3K
    94729In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream.140$50$6.8K
    94727The provider performs a pulmonary function test, or PFT, to assess the patient’s lung volumes using gas dilution or washout techniques that compare a known concentration of an inhaled gas with the…180$40$6.7K
    94060The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is…170$30$5.7K
    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…20$160$3.4K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992142,93613,640130$90$23.6K
    992132,94214,090100$70$13.1K
    992153,3423,75040$140$12K
    9581169030$240$8.4K
    95810119030$220$8.1K
    992044757,16040$130$6.5K
    992051,1811,97030$170$6.5K
    9580077040$80$5.4K
    947297333070$40$3.7K
    947272322070$30$2.8K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Atlanticare Physician Group PANJClinic/Center$0$27.1M
    Anan HaijaNJRheumatology Physician$1.1M$0
    Jonathan TardosNJClinical Cardiac Electrophysiology Physician$962.9K$900
    Manish TrivediNJInfectious Disease Physician$654.3K$0
    Salaam AlobeidyNJPulmonary Disease Physician$535.1K$1.2K
    Thomas MuellerNJUrology Physician$527.2K$0
    Gordon BrownNJUrology Physician$518.6K$0
    David SussmanNJUrology Physician$516.2K$0
    Swarna JayasingheNJCardiovascular Disease Physician$477.1K$0
    Khashayar SalartashNJVascular Surgery Physician$443.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Preferred Home Health Care And Nursing Services, Inc.NJHome Health Agency$0$26.4M
    Ocean Healthcare Pcp-atlantic LLCNJMental Health Clinic/Center (Including Community Mental Health Center)$0$9.5M
    Helping Hand Behavioral Health CorpNJAdult Mental Health Clinic/Center$0$8.8M
    Family Empowerment Associates, LLCNJMental Health Counselor$0$7.7M
    Galloway Township Public SchoolsNJLocal Education Agency (LEA)$0$7.6M
    Borys KrynyckyiNJNuclear Medicine Physician$1.4M$0
    Rajasree AjayNJHematology & Oncology Physician$850.4K$0
    Micah WattsNJVascular & Interventional Radiology Physician$777.9K$0
    Christopher KimNJVascular & Interventional Radiology Physician$473.4K$0
    John ZimmermanNJChiropractor$33.4K$433.3K

    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. New Jersey Distribution
    Nancy Higgins — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey