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    v1.0.28
    OpenPayerNPI Medicare & MedicaidStacy Eldridge
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    Stacy Eldridge — Billing Profile & Reimbursement Data

    NPI 1265705743 · Bellefontaine, OH · Family Nurse Practitioner

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    Stacy Eldridge is a family nurse practitioner provider located in Bellefontaine, Ohio. This profile covers 22 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
    OrganizationStacy Eldridge
    Address1134 N Main St
    CityBellefontaine
    StateOH
    ZIP43311
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedFebruary 15, 2012

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

    Payer SourceTotal Paid
    Medicare$88.2K
    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.

    22 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…700$50$36.2K
    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…250$80$20.5K
    87428The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…180$60$10.9K
    99203The provider sees a new 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 provider…110$50$5.2K
    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,…110$40$3.7K
    87804The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.200$20$3.1K
    99204The provider sees a new 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 provider…30$90$3.1K
    87086Culture, bacterial; quantitative, colony count, urine.110$10$840
    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$30$780
    87880The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.40$20$620

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    87086216060$10$23.1K
    992144,00420,010100$70$11.7K
    871861712020$10$8.2K
    87077167030$10$7.6K
    9921330920,00070$50$6.6K
    992043,5748,33030$100$4.4K
    992034716,38030$60$2.9K
    992122,2494,10030$30$1.7K
    930002,2092,42030$10$930
    874261046020$30$890

    Showing 1–10 of 22

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ohiohealth CorporationOHFamily Medicine Physician$0$89.1M
    Mary Rutan HospitalOHGeneral Acute Care Hospital$0$15.8M
    Marion Area Physicians LLCOHInternal Medicine Physician$0$15.7M
    Matthew OrtonINRadiation Oncology Physician$782.4K$0
    Neil EstabrookINRadiation Oncology Physician$769.3K$0
    Jason PassafiumeINDiagnostic Radiology Physician$374.2K$0
    Frank FumichOHOrthopaedic Surgery of the Spine Physician$302.7K$0
    Dhiraj WarmanFLCardiovascular Disease Physician$286K$0
    Omar KhanOHUrology Physician$284.9K$0
    Luke GergesINDiagnostic Radiology Physician$268.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Robinaugh Ems, LLCOHLand Ambulance$455.6K$965.1K
    Muhammad AzrakOHOphthalmology Physician$361.7K$0
    Jennifer ReglerOHFoot & Ankle Surgery Podiatrist$199.6K$0
    Heath TennysonOHOtolaryngology Physician$155.2K$0
    Roger AmigoOHUrology Physician$140.3K$0
    Frederick ElkinsOHChiropractor$24.4K$105K
    William HouserOHCardiovascular Disease Physician$94.6K$0
    Jason Anane-sefahOHOrthopaedic Surgery Physician$77.1K$12K
    Kimberly KlapcharOHOtolaryngology Physician$44.4K$0
    County Of Logan Office Of AuditorOHPublic Health or Welfare Agency$6.5K$10.8K

    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
    Stacy Eldridge — 4 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio