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    OpenPayerNPI Medicare & MedicaidKimberly Crowell
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    Kimberly Crowell — Billing Profile & Reimbursement Data

    NPI 1164744090 · Union City, TN · Family Nurse Practitioner

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    Kimberly Crowell is a family nurse practitioner provider located in Union City, Tennessee. This profile covers 7 Medicare and 2 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
    OrganizationKimberly Crowell
    Address1720 E Reelfoot Ave Ste 200
    CityUnion City
    StateTN
    ZIP38261
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedFebruary 19, 2010

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

    Payer SourceTotal Paid
    Medicare$115.2K
    Medicaid$2.9K

    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.

    7 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…1,050$70$72.2K
    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…540$60$29.7K
    80305The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…470$10$5.6K
    96136The provider, a physician or other qualified healthcare professional, administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of…130$20$2.8K
    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$80$2.7K
    G0444Annual depression screening, 5 to 15 minutes90$10$1.3K
    96127The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.160$1$490

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921421411,370120$80$16.6K
    9921348611,03080$50$8K
    992042,7595,49030$100$5.3K
    96136126060$30$3.2K
    G04444181,12060$20$1.6K
    80305628040$10$1K
    961271925040$1$210

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…470$10$2.8K
    80305The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…40$1$40

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Tennessee median

    2 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…2,2244,050620$30$183.9K
    80305The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…382460360$1$8.8K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mckenzie Medical Center PCTNRural Health Clinic/Center$0$12.9M
    Thomas HodgkissTNDiagnostic Radiology Physician$458.9K$0
    Stephen LeschakFLVascular & Interventional Radiology Physician$374K$0
    Scott OsborneTNVascular & Interventional Radiology Physician$158.4K$0
    Howard BromleyTNAnesthesiology Physician$134.5K$1.7K
    Edwin AndersonTNOptometrist$66.3K$59.9K
    Sherri RandolphTNFamily Nurse Practitioner$94.3K$800
    Ashley PenningtonTNFamily Nurse Practitioner$29.4K$61.3K
    Colton MooreTNFamily Medicine Physician$68.9K$0
    Ramon PadillaTNPhysician Assistant$50.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Baptist Memorial Hospital- Union City IncTNGeneral Acute Care Hospital$0$9.1M
    Pediatric Place Of Union City LLCTNPediatrics Physician$0$2.7M
    Union City Asc LLCTNAmbulatory Surgical Clinic/Center$299.1K$358.7K
    Ucsc LLCTNAmbulatory Surgical Clinic/Center$396K$0
    Kofi NuakoTNGastroenterology Physician$393K$0
    Kevin CollinsTNRadiation Oncology Physician$338.4K$0
    Matthew DavisTNUrology Physician$210.4K$0
    James HallTNCardiovascular Disease Physician$207.3K$0
    James BateyTNFamily Medicine Physician$165.7K$34.4K
    John ClendeninTNFamily Medicine Physician$173.8K$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. Tennessee Distribution
    Kimberly Crowell — 3 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee
    Medicaid Revenue by Year vs. Tennessee Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Tennessee Distribution
    Kimberly Crowell — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee