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    v1.0.28
    OpenPayerNPI Medicare & MedicaidNecole Hughes
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    Necole Hughes — Billing Profile & Reimbursement Data

    NPI 1265814529 · Walnut Ridge, AR · Family Nurse Practitioner

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    Necole Hughes is a family nurse practitioner provider located in Walnut Ridge, Arkansas. This profile covers 16 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
    OrganizationNecole Hughes
    Address1309 W Main St
    CityWalnut Ridge
    StateAR
    ZIP72476
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedJune 23, 2015

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

    Payer SourceTotal Paid
    Medicare$18.3K
    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.

    16 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…110$60$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…70$50$3K
    G0447Face-to-face behavioral counseling for obesity, 15 minutes80$20$1.4K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit10$100$1.4K
    99491The provider, a physician or other healthcare professional, personally directs the evaluation and management of a patient with two or more chronic A physician or other qualified healthcare…30$40$1.1K
    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…20$50$800
    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…50$20$740
    82306The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…20$30$550
    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.50$10$500
    82607The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood.20$20$290

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992142,3734,300130$70$18.8K
    9949192030$60$11.3K
    G04399841,06080$90$10.1K
    992132,5284,180100$50$9.6K
    992041,6362,10040$100$5.4K
    80053360500140$10$4.4K
    8230620024050$30$4K
    84443255360100$20$3.4K
    80061344410120$10$3.1K
    85025577740120$10$3K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    White River Health System, Inc.ARGeneral Acute Care Hospital$0$22.3M
    White River Health System, Inc.ARCritical Access Hospital$0$3.3M
    White River Health System, Inc.ARRural Health Clinic/Center$0$3.1M
    White River Health System, IncARAnesthesiology Physician$0$2.6M
    Lawrence Memorial Health Foundation Inc.ARCritical Access Hospital$0$1.8M
    Jasen ChiARRheumatology Physician$1.5M$0
    Lakshman GollapalliAZInterventional Pain Medicine Physician$483K$0
    Terry FletcherARPain Medicine (Anesthesiology) Physician$419.5K$0
    Todd BesselievreARInterventional Pain Medicine Physician$330.2K$0
    Mahesh Anantha NarayananARInterventional Cardiology Physician$217.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kidspot Walnut Ridge2ARSpeech-Language Pathologist$0$4.1M
    Kidspot Walnut RidgeARSpeech-Language Pathologist$0$3.1M
    1st Choice Healthcare IncARFederally Qualified Health Center (FQHC)$0$3M
    Families, Inc. Of ArkansasARMental Health Clinic/Center (Including Community Mental Health Center)$0$2.3M
    Sebastian SpadesARFamily Medicine Physician$18.8K$0
    Charles DavidsonARFamily Medicine Physician$17.8K$0
    Shawn PeytonARFamily Medicine Physician$14K$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. Arkansas Distribution
    Necole Hughes — 0 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arkansas