Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidClaire Nicholson
    Ask Trek AI about this page

    Claire Nicholson — Billing Profile & Reimbursement Data

    NPI 1215456991 · Bingham Farms, MI · Physician Assistant

    Customize your policy alerts

    Sign up for Claire Nicholson — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Claire Nicholson is a physician assistant provider located in Bingham Farms, Michigan. This profile covers 12 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationClaire Nicholson
    Address30300 Telegraph Rd Ste 310
    CityBingham Farms
    StateMI
    ZIP48025
    TaxonomyPhysician Assistant
    NPI EnumeratedSeptember 14, 2017

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

    Payer SourceTotal Paid
    Medicare$11.7K
    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.

    12 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…70$50$3.5K
    99203The provider sees a new 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 provider…40$50$2.2K
    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…30$80$2.1K
    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…20$90$1.7K
    87426The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…20$40$740
    87428The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…10$60$710
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…40$10$340
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…20$20$240
    87400The lab analyst performs the technical lab test to detect antigens of influenza A or B using an immunoassay technique, such as EIA. This analysis will distinguish if a patient has influenza A or B.10$10$160
    81003The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…10$1$30

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921412,68915,47080$80$11.4K
    992137,13114,81060$60$6.6K
    992044,2126,28030$110$4.2K
    992031,6104,56030$70$3K
    8742623438030$30$1.6K
    710461,2031,38070$10$1.5K
    8742820323020$50$1.2K
    963728601,71040$10$830
    8740041020$10$310
    810031,0351,21030$1$230

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hurley Medical CenterMIGeneral Acute Care Hospital$0$118.2M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Hurley Medical CenterMIEmergency Medicine Physician$0$18.9M
    Jefferson Radiology, PCCTDiagnostic Radiology Physician$0$14M
    Hurley Medical CenterMIObstetrics & Gynecology Physician$0$8.4M
    Hurley Medical CenterMIPediatrics Physician$0$7.7M
    Rizwan DanishMIHematology & Oncology Physician$1.1M$0
    Jeffrey WeeksLADiagnostic Radiology Physician$652.9K$0
    Arlene RichardsonILDiagnostic Radiology Physician$83.6K$553.9K
    Gregory BortoffNCDiagnostic Radiology Physician$587.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Gateway Pediatric Therapy LLCMIBehavior Analyst$0$125M
    Heritage Labs, Inc.MIClinical Medical Laboratory$12M$2.3M
    Byram Healthcare Centers, Inc.MIDurable Medical Equipment & Medical Supplies$0$5.3M
    Catalyst Diagnostic LLCMIClinical Medical Laboratory$400.9K$1.7M
    Anu PatelMIOphthalmology Physician$1M$0
    Michigan Community Wellness Vna, LLCMINursing Care Agency$161.6K$582.7K
    Direct Path Services, P.C.MIClinical Medical Laboratory$444.8K$122.4K
    Justin TrivaxMICardiovascular Disease Physician$534.2K$0
    Mark KaradshehMIOrthopaedic Surgery Physician$383.3K$0
    Steven KorotkinMICardiovascular Disease Physician$375.4K$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. Michigan Distribution
    Claire Nicholson — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan