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    OpenPayerNPI Medicare & MedicaidCandia Broughton
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    Candia Broughton — Billing Profile & Reimbursement Data

    NPI 1265916936 · Frankfort, KY · Family Nurse Practitioner

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    Candia Broughton is a family nurse practitioner provider located in Frankfort, Kentucky. This profile covers 10 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
    OrganizationCandia Broughton
    Address4200 Lawrenceburg Rd
    CityFrankfort
    StateKY
    ZIP40601
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedSeptember 19, 2018

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

    Payer SourceTotal Paid
    Medicare$48.2K
    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    91322This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 50 mcg/0.5 mL.140$140$18.5K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit70$100$7.3K
    90756This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no antibiotics, and is administered as a 0.5 mL injection into…160$30$5K
    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…80$50$4.5K
    G0008Administration of influenza virus vaccine140$20$3.4K
    90480The provider administers the first or only component of a SARS–CoV–2 (COVID–19) vaccine by intramuscular injection to reduce the patient's risk of contracting COVID–19.130$30$3.4K
    99211An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.260$10$3.1K
    69210The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.90$20$1.6K
    G0127Trimming of dystrophic nails, any number140$10$1.5K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.10$10$140

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    913226239060$140$10.9K
    G04396601,57060$110$9.3K
    992133,5267,25080$50$7.7K
    G01271430100$10$4.8K
    9048017885050$30$2.7K
    692105019040$30$2.2K
    G00082851,91050$30$2K
    9075622030$30$1.5K
    992111016030$10$990
    9047172010$10$180

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    New Vista Of The Bluegrass IncKYMental Health Clinic/Center (Including Community Mental Health Center)$0$69.6M
    Frankfort Hospital, Inc.KYGeneral Acute Care Hospital$0$39.4M
    Everyday Matters,l.l.c.KYDevelopmentally Disabled Services Day Training Agency$0$26M
    Harmony Care IncKYIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$11.2M
    Cypress Community Services, LLCKYCommunity/Behavioral Health Agency$0$9.9M
    Abilities Unlimited, LLCKYLodging Provider$0$5.3M
    Center For Behavioral Health Kentucky LLCKYMethadone Clinic$74.9K$4.9M
    Juniper Hill Park Emergency Physicians LLCKYEmergency Medicine Physician$0$3.8M
    Vbh Kentucky IncKYSubstance Abuse Rehabilitation Facility$0$3.4M
    Community Alternatives Kentucky, Inc.KYCase Management Agency$0$3.4M

    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. Kentucky Distribution
    Candia Broughton — 1 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky