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    OpenPayerNPI Medicare & MedicaidNathana Hall
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    Nathana Hall — Billing Profile & Reimbursement Data

    NPI 1265928766 · Grayson, KY · Family Nurse Practitioner

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    Nathana Hall is a family nurse practitioner provider located in Grayson, Kentucky. This profile covers 7 Medicare and 14 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationNathana Hall
    Address915 State Highway 1947
    CityGrayson
    StateKY
    ZIP41143
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedJuly 8, 2018
    NPI DeactivatedMay 28, 2020

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

    Payer SourceTotal Paid
    Medicare$29.7K
    Medicaid$15K

    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99350The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…150$100$14.9K
    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…70$60$4.3K
    99349The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…50$70$3.6K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit20$100$2K
    99344The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider spends at least…30$80$1.9K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.190$10$1.5K
    95115The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives a single injection during the visit.280$10$1.4K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992144,5687,230110$70$14.1K
    99349131190110$70$13.8K
    G04391,3251,57060$110$9.3K
    9935098050$110$9.2K
    99344237020$90$2.4K
    364152971,040100$10$1.7K
    951152060190$10$1.6K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    95115The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives a single injection during the visit.1,710$10$12K
    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…40$30$1.4K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…20$30$550
    99441N/A20$30$480
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.300$1$300
    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.20$10$280
    1125FThe provider measures the severity of pain in a patient with cancer who receives chemotherapy or radiotherapy during the measurement period. Report this code if the patient experiences pain.50$0$0
    1126FThe provider measures the severity of pain in a patient with cancer who receives chemotherapy or radiotherapy during the measurement period. Report this code if the patient does not experience pain.150$0$0
    1159FNo Summary found for this code340$0$0
    1160FNo Summary found for this code340$0$0

    Showing 1–10 of 14

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Kentucky providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Kentucky median

    14 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…2,1172,460580$40$245K
    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.475540210$20$78.3K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.456730710$1$57.8K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…346410110$60$50.4K
    95115The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives a single injection during the visit.1550470$10$28.5K
    99441N/A17719080$30$16.1K
    99000Use this code for the in office preparation of a specimen for lab analysis and or its transport from the office to the outside testing laboratory.6614080$1$60
    3008FNo Summary found for this code209330790$1$20
    3074FNo Summary found for this code286320510$1$20
    3079FNo Summary found for this code233250310$1$10

    Showing 1–10 of 14

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Stephanie WilliamsKYCommunity/Behavioral Health Agency$0$14.7M
    Carter Co Emergency Ambulance Service DistrictKYAmbulance$462.1K$2M
    Sanjiv GuptaKYInternal Medicine Physician$183.8K$660
    Mary WestKYOptometrist$27.5K$0
    Patricia WortleyKYAudiologist$2.7K$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. Kentucky Distribution
    Nathana Hall — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky
    Medicaid Revenue by Year vs. Kentucky Providers
    0 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Kentucky Distribution
    Nathana Hall — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky