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    OpenPayerNPI Medicare & MedicaidBrandy Utter
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    Brandy Utter — Billing Profile & Reimbursement Data

    NPI 1255468914 · Shoreview, MN · Family Medicine Physician

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    Brandy Utter is a family medicine physician provider located in Shoreview, Minnesota. This profile covers 7 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
    OrganizationBrandy Utter
    Address4194 Lexington Ave N
    CityShoreview
    StateMN
    ZIP55126
    TaxonomyFamily Medicine Physician
    NPI EnumeratedFebruary 28, 2007

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

    Payer SourceTotal Paid
    Medicare$82.7K
    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…480$90$41.1K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…150$120$18.3K
    99238The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…140$60$8K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…130$50$6.9K
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…30$160$4.2K
    99239The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…40$80$2.8K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…20$80$1.6K

    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
    99233242,57060$90$8.4K
    992916151,15030$160$7.5K
    992327763,64060$60$5.2K
    99223472,36030$130$5K
    992397621,54040$90$3.9K
    992221,0642,22020$90$2.7K
    99238151020$60$1.5K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Conway Regional Medical Center IncARGeneral Acute Care Hospital$0$10.6M
    White County Medical CenterARMulti-Specialty Clinic/Center$0$10.2M
    White County Medical CenterARGeneral Acute Care Hospital$0$9M
    White County Medical CenterARPsychiatry Physician$0$5.5M
    White County Medical CenterAREmergency Medicine Physician$0$2.2M
    White County Medical CenterARMulti-Specialty Clinic/Center$0$1.5M
    Anil BadhwarARAllergy & Immunology Physician$469.4K$557.4K
    Jeff ThomasARMedical Physician Assistant$870.2K$0
    Jeffrey MarotteARUrology Physician$475.9K$30
    Andrew BradberryARFamily Medicine Physician$465.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Advanced Respiratory, Inc.MNDurable Medical Equipment & Medical Supplies$0$204.3M
    Circle Of Life Home Care Anishinaabe, LLCMNHome Health Agency$0$184.6M
    Critical Care Services, IncMNAir Ambulance$4.3M$21.2M
    Fairview Pharmacy Services LLCMNHome Infusion Therapy Pharmacy$72.8K$20M
    Cynthia FraneMNFamily Medicine Physician$49.2K$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. Minnesota Distribution
    Brandy Utter — 3 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Minnesota