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 & MedicaidWynne Crawford
    Ask Trek AI about this page

    Wynne Crawford — Billing Profile & Reimbursement Data

    NPI 1245260314 · Montgomery, AL · Clinical Cardiac Electrophysiology Physician

    Customize your policy alerts

    Sign up for Wynne Crawford — 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.

    Wynne Crawford is a clinical cardiac electrophysiology physician provider located in Montgomery, Alabama. This profile covers 43 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
    OrganizationWynne Crawford
    Address273 Winton M Blount Loop
    CityMontgomery
    StateAL
    ZIP36117
    TaxonomyClinical Cardiac Electrophysiology Physician
    NPI EnumeratedJuly 4, 2006

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

    Payer SourceTotal Paid
    Medicare$384.2K
    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.

    43 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…160$300$49.4K
    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…700$60$39.2K
    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…460$80$37.6K
    A9502Technetium tc-99m tetrofosmin, diagnostic, per study dose320$90$29.8K
    G2066Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system,…460$60$25.5K
    93280In this service, the provider performs a face to face evaluation and then optimally adjusts the existing parameters of an already implanted dual lead pacemaker system.  He changes various operating…500$50$24.7K
    93294The provider, a physician or other qualified health care professional, remotely analyzes, for a period up to 90 days, the function of a single, dual, multiple lead, or leadless pacemaker system,…1,020$20$20.4K
    J2785Injection, regadenoson, 0.1 mg460$40$19.8K
    93296The technician gathers data, for a period of up to 90 days, from a patient’s single, dual, multiple lead, or leadless pacemaker system or implantable defibrillator system by remotely accessing the…1,260$10$17.6K
    33208The provider inserts or replaces a permanent pacemaker and implants electrodes into the right atrium and right ventricle.40$370$15.6K

    Showing 1–10 of 43

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 43 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    43 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992149227,330120$80$16.8K
    784523425050$210$16.2K
    A95021280110$90$15.1K
    J278544160270$40$15K
    992331,3471,86080$90$13.4K
    992321,0552,530100$60$13.3K
    3320875020$370$9.2K
    992157011,71040$110$8.1K
    992231,3622,14040$130$8.1K
    992131536,47080$50$7.9K

    Showing 1–10 of 43

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    North Shore Hematology Oncology Associates PCNYSpecialist$0$61.9M
    Health Care Authority For Baptist Health, An Affiliate Of UabhsALGeneral Acute Care Hospital$0$16.7M
    Health Care Authority For Baptist Health An Affiliate Of UabhsALGeneral Acute Care Hospital$0$12M
    Health Care Authority For Baptist Health, An Affiliate Of UabhsALInternal Medicine Physician$0$7.5M
    The Health Care Authority For Baptist Health An Affiliate Of UabhsALGeneral Acute Care Hospital$0$5.2M
    The Health Care Authority For Baptist Health, An Affiliate Of UabhsALHematology & Oncology Physician$0$1M
    Scott SimsALCardiovascular Disease Physician$472.4K$0
    James DaviesALThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$397.7K$0
    Paul MooreALInterventional Cardiology Physician$387K$0
    Justin SmithFLClinical Cardiac Electrophysiology Physician$339K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Montgomery Pediatric Assoc, P.A.ALPediatric Adolescent Medicine Physician$0$8.3M
    Tooth Buds At Lagoon Park, LLCALGeneral Practice Dentistry$0$7.8M
    Smiles From Us, PLLCALPediatric Dentistry$0$5.9M
    Dentists 4 Children, L.L.C.ALPediatric Dentistry$0$5.7M
    Pediatric Specialists Of Montgomery, L.L.C.ALPediatric Cardiology Physician$0$5.3M
    Alexander Pediatrics LLCALPediatrics Physician$0$4.8M
    River Region Psychiatry Associates LLCALPsychiatry Physician$0$4.5M
    Oral And Maxillofacial Surgery AssociatesALOral and Maxillofacial Surgery (Dentist)$0$4.4M
    East Montgomery Pediatrics LLCALPediatrics Physician$0$3M
    Ob-gyn Associates Of Montgomery, P.C.ALObstetrics & Gynecology Physician$0$2.6M

    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. Alabama Distribution
    Wynne Crawford — 7 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama