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 & MedicaidBetsy English
    Ask Trek AI about this page

    Betsy English — Billing Profile & Reimbursement Data

    NPI 1265402184 · Winston Salem, NC · Internal Medicine Physician

    Customize your policy alerts

    Sign up for Betsy English — 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.

    Betsy English is a internal medicine physician provider located in Winston Salem, North Carolina. This profile covers 9 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
    OrganizationBetsy English
    Address50 Miller St Ste G
    CityWinston Salem
    StateNC
    ZIP27104
    TaxonomyInternal Medicine Physician
    NPI EnumeratedJanuary 24, 2006

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

    Payer SourceTotal Paid
    Medicare$110.7K
    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.

    9 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…820$60$52.4K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit340$120$41.7K
    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…180$40$7.7K
    99495The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires at least moderate medical decision making,…50$110$4.9K
    G0402Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment20$130$2.4K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…30$20$600
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…10$30$410
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.40$10$210
    G0405Electrocardiogram, routine ECG with 12 leads; interpretation and report only, performed as a screening for the initial preventive physical examination20$1$80

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921449318,060110$80$15.1K
    G04391004,16060$120$10.5K
    992133,42316,32070$50$7.1K
    206101,5301,62060$50$5.1K
    994952557020$140$3K
    G04026638010$150$2.4K
    992121,7112,89030$30$2.1K
    930101,4091,880120$10$1.4K
    G040551020$1$80

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Forsyth Memorial Hospital, Inc.NCGeneral Acute Care Hospital$0$40.9M
    Novant Health Medical Group LLCNCPediatrics Physician$0$20.4M
    Novant Health Medical Group, LLCNCInternal Medicine Physician$0$15.3M
    Novant Health Medical Group, LLCNCPediatrics Physician$0$8.6M
    Gregory BorstadNCRheumatology Physician$1.6M$0
    Karrie GrearNCNeurology Physician$1.5M$0
    Mayur PatelNCRheumatology Physician$1M$0
    David EagleNYHematology & Oncology Physician$803.3K$23.7K
    Christopher SnyderNCDermatology Physician$753.6K$0
    Nasfat ShehadehNCHematology & Oncology Physician$700K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jessica SavasNCDermatology Physician$483K$0
    Julio BravoNCRheumatology Physician$270.1K$0
    Jeffrey PeacockNCPain Medicine Physician$157.8K$0
    Sakeitha CrowderNCInternal Medicine Physician$130.7K$0
    Jesse MaddenNCThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$112.3K$0
    William RiceNCInternal Medicine Physician$102.3K$0
    Phillip MorrowNCInternal Medicine Physician$75.3K$0
    Wynne BrownNCFamily Medicine Physician$13.6K$0
    Jamy ArdNCInternal Medicine Physician$1.9K$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. North Carolina Distribution
    Betsy English — 3 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina