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    OpenPayerNPI Medicare & MedicaidTiffany Newman
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    Tiffany Newman — Billing Profile & Reimbursement Data

    NPI 1225539828 · Portsmouth, OH · Family Nurse Practitioner

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    Tiffany Newman is a family nurse practitioner provider located in Portsmouth, Ohio. This profile covers 2 Medicare and 4 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
    OrganizationTiffany Newman
    Address840 Gallia St
    CityPortsmouth
    StateOH
    ZIP45662
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedFebruary 28, 2018

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

    Payer SourceTotal Paid
    Medicare$14.3K
    Medicaid$1.9K

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G0482Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…40$200$8.2K
    G2087Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month30$210$6.1K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    2 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G208741030$270$49.3K
    G04822840100$190$40.6K

    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.

    4 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…40$40$1.6K
    H0048Alcohol and/or other drug testing: collection and handling only, specimens other than blood60$1$180
    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$10$110
    81025The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.20$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Ohio median

    4 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…4,3035,080560$40$323.9K
    H0048Alcohol and/or other drug testing: collection and handling only, specimens other than blood516640660$10$117.5K
    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,…275300190$20$42.9K
    81025The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.584650560$1$9.1K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Scioto County Counseling Center, IncOHAddiction (Substance Use Disorder) Counselor$0$166.5M
    Scioto County Counseling Center, Inc.OHMental Health Counselor$0$27.7M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Southern Ohio Medical CenterOHGeneral Acute Care Hospital$0$144.9M
    Phoenix Group Home, LLCOHCommunity/Behavioral Health Agency$0$98.8M
    Mahajan Therapeutics, LLCOHCommunity/Behavioral Health Agency$0$33.9M
    Amazing Grace Center IncOHMethadone Clinic$349.1K$26.2M
    Somc Medical Care Foundation, Inc.OHFamily Medicine Physician$0$25.3M
    Portsmouth Emergency Ambulance Service IncOHAmbulance$3.6M$18.7M
    Genesis Respiratory Services IncOHDurable Medical Equipment & Medical Supplies$0$20.4M
    Portsmouth Hospital CorporationOHGeneral Acute Care Hospital$0$19.7M
    Jay Hash LLCOHSubstance Use Disorder Rehabilitation Clinic/Center$0$19.1M
    Port45 Recovery LLCOHAddiction (Substance Use Disorder) Counselor$0$18.6M

    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. Ohio Distribution
    Tiffany Newman — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio
    Medicaid Revenue by Year vs. Ohio Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Ohio Distribution
    Tiffany Newman — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio