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    v1.0.28
    OpenPayerNPI Medicare & MedicaidHeather Hamilton
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    Heather Hamilton — Billing Profile & Reimbursement Data

    NPI 1265705404 · Muncie, IN · Nurse Practitioner

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    Heather Hamilton is a nurse practitioner provider located in Muncie, Indiana. This profile covers 27 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
    OrganizationHeather Hamilton
    Address4000 W Woodway Dr
    CityMuncie
    StateIN
    ZIP47304
    TaxonomyNurse Practitioner
    NPI EnumeratedFebruary 20, 2012

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

    Payer SourceTotal Paid
    Medicare$141.6K
    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.

    27 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…1,010$70$65.8K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit240$100$24.2K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.840$10$6.7K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.450$10$5.8K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.570$10$5.7K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…130$40$5.6K
    99307The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…230$20$5.4K
    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…130$40$5.2K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…470$10$3.3K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…160$20$2.5K

    Showing 1–10 of 27

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    27 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99308368690160$50$17.2K
    9921415510,540110$80$15.5K
    G04391582,43060$120$10.1K
    844434919070$20$8.6K
    800533123090$10$8.5K
    992133,48410,82080$50$7.6K
    800611723070$10$7.3K
    992152,4832,73030$110$7.1K
    850255929090$10$5.7K
    206107551,00050$40$4.6K

    Showing 1–10 of 27

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Open Door Health Services, Inc.INFederally Qualified Health Center (FQHC)$0$15.1M
    Open Door Health Services, Inc.INFederally Qualified Health Center (FQHC)$0$3.8M
    Open Door Health Services, Inc.INFederally Qualified Health Center (FQHC)$0$3M
    Heather RoyINNurse Practitioner$394.6K$0
    Rhonda StewartNCDiagnostic Radiology Physician$265.7K$61.8K
    Robert SuerINInternal Medicine Physician$253.4K$0
    Earl LloydINInternal Medicine Physician$177.1K$0
    Koshy OommenINInternal Medicine Physician$152.9K$0
    Keri LoweINRegistered Nurse$81.5K$0
    Thomas GibsonINInternal Medicine Physician$29.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Meridian ServicesINCommunity/Behavioral Health Agency$0$245.7M
    Dentistry For Children Of Indiana, LLCINDentist$0$15.9M
    Meridian Health Services CorpINMental Health Clinic/Center (Including Community Mental Health Center)$0$14.5M
    Meridian Health Services CorpINFederally Qualified Health Center (FQHC)$0$11.1M
    Behavior Associates Of Indiana LLCINBehavior Analyst$0$10.8M
    Muncie Treatment Center, LLCINMethadone Clinic$158.8K$9.3M
    Meridian Health Services Corp.INFederally Qualified Health Center (FQHC)$0$5.4M
    Central Indiana Orthopedics LLCINOrthopaedic Surgery Physician$0$5.4M
    Medical Group Of Indiana LLC D/b/a Rheumatology Of Central IndianaINRheumatology Physician$0$4.5M
    Oral Surgery Of Indiana, LLCINOral and Maxillofacial Surgery (Dentist)$0$4.5M

    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. Indiana Distribution
    Heather Hamilton — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana