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    OpenPayerNPI Medicare & MedicaidShawna Brennfleck
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    Shawna Brennfleck — Billing Profile & Reimbursement Data

    NPI 1225466733 · Saipan, MP · Family Nurse Practitioner

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    Shawna Brennfleck is a family nurse practitioner provider located in Saipan, Northern Mariana Islands. This profile covers 1 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
    OrganizationShawna Brennfleck
    Address1 Lower Navy Hill Road
    CitySaipan
    StateMP
    ZIP96950
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedOctober 18, 2013

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

    Payer SourceTotal Paid
    Medicare$910
    Medicaid$0

    Key Findings

    The provider is a Family Nurse Practitioner enumerated on 2013-10-18 (~13 years ago) and practices in SAIPAN, MP; the NPI tenure indicates an established billing presence in Medicare for more than a decade. This length of enumeration suggests the provider is not newly registered and any observed billing pattern has had time to stabilize around a small set of services.

    Medicare activity is extremely concentrated: the precomputed data show the top 3 Medicare codes by revenue account for 100.0% of this provider's total Medicare revenue. In the available file the single listed code, 99214, is reported as producing $912 revenue (100.0% of this provider's total Medicare revenue) while the summary lifetime Medicare revenue is recorded as $909, indicating the provider’s Medicare receipts are effectively entirely attributable to office/outpatient E/M visits.

    The dominant Medicare CPT is 99214 (established patient office/outpatient visit with moderate medical decision making or ≈30 minutes), which aligns the provider’s service line with longitudinal primary care or comprehensive ambulatory evaluation and management. The code line shows 16 claims at an average paid per claim of $57 and $912 revenue as reported, implying that billed services are almost entirely face-to-face E/M visits rather than procedure-based or ancillary-service revenue.

    Payer mix is effectively single-payer on record: the dataset lists Total Medicaid revenue as none and explicitly notes "none below — this provider has no Medicaid billing on file." That absence means analysts should treat this profile as Medicare-dominant with no Medicaid activity to compare within-state service mix or reimbursement.

    Competitive standing for 99214 is modest: the code ranks #451608 of 479517 providers nationally (5th percentile) and is labeled "typical, unremarkable volume for this code." This placement describes the provider as a low-volume, non-dominant national participant for the principal Medicare service line rather than a regional or national leader in that CPT.

    The small claim count and low dollar totals indicate limited Medicare scale: 16 claims and an average paid/claim of $57 for 99214 produced the listed $912 revenue for that code. Given those discrete counts and the complete concentration of reported Medicare revenue in a single E/M code, the provider’s Medicare footprint is narrow and would be sensitive to small changes in visit volume or coding patterns.

    From a risk and business analysis perspective, revenue concentration in one office-visit code creates operational sensitivity: with the top 3 codes accounting for 100.0% of Medicare revenue and no Medicaid billing on file, any shift in patient volume, payer mix, or coding for 99214 could materially change reported Medicare revenue. For payer/provider strategy, this profile suggests a small ambulatory practice that is not diversified across procedures, ancillary services, or multiple payers, limiting leverage in contract negotiations and care-line expansion.

    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.

    1 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…20$60$910

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    1 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99214410100$60$12.8K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jeanolivia GrantMPFamily Medicine Physician$228.7K$0
    Northern Mariana Islands GovernmentMPLand Ambulance$180.9K$0
    Keri AllenMPOphthalmology Physician$96.8K$0
    Vicente AldanMPFamily Medicine Physician$87.4K$0
    Ahmad Al-alouMPInternal Medicine Physician$36.1K$0
    Norma AdaMPInternal Medicine Physician$32.8K$0
    Mark RobertsonMPOptometrist$25.8K$0
    David HardtMPOptometrist$24.1K$0
    Donald HardtMPOptometrist$23.9K$0
    Pamela CarhillMPPhysical Therapist$22K$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. Northern Mariana Islands Distribution
    Shawna Brennfleck — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Northern Mariana Islands