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    OpenPayerNPI Medicare & MedicaidHaley Summerhays
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    Haley Summerhays — Billing Profile & Reimbursement Data

    NPI 1275842783 · Riverton, UT · Women's Health Nurse Practitioner

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    Haley Summerhays is a women's health nurse practitioner provider located in Riverton, Utah. 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
    OrganizationHaley Summerhays
    Address3723 W 12600 S Ste 270
    CityRiverton
    StateUT
    ZIP84065
    TaxonomyWomen's Health Nurse Practitioner
    NPI EnumeratedSeptember 30, 2010

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

    Payer SourceTotal Paid
    Medicare$24.3K
    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    51728In this procedure, the provider performs a complex cystometrogram along with voiding pressure studies to diagnose certain urinary disorders like an overactive bladder, stress incontinence, or urinary…30$260$7.8K
    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$60$4.9K
    51797Voiding pressure (sometimes referred to as leak point pressure) measures contractions of the detrusor muscle and can detect a pressure obstruction if the patient is able to void, or express, urine.30$140$4K
    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…50$90$3.9K
    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$100$2.2K
    51784This test measures the electrical activity in the anal or urethral sphincter muscles.40$30$900
    51798Providers perform this ultrasound to measure the volume of residual urine in the bladder.50$10$330
    51741Uroflowmetry (UFR) is the process of measuring how much liquid the patient excretes from the bladder. It is measured in cubic centimeters per second. The rate is the ratio of volume over time.20$1$80
    81003The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…20$1$40
    Q9958High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml3,300$0$0

    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
    992142,7424,08080$80$11.6K
    5172851020$240$7.3K
    992131,5923,68060$50$6.4K
    992041,0291,79030$100$4.1K
    5179741020$120$2.9K
    51798638090$10$960
    5178421020$20$480
    51741223030$10$250
    Q99581103,300$1$200
    8100341465030$1$110

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ihc Health Services IncUTGeneral Acute Care Hospital$0$15.3M
    Jordan School DistrictUTLocal Education Agency (LEA)$0$4.9M
    Awakening Behavioral Health, LLCUTSubstance Abuse Rehabilitation Facility$0$2.8M
    Foundation For Family LifeUTProfessional Counselor$0$1.7M
    Terry SorensonUTGeneral Practice Dentistry$0$1.6M
    Michelle WilliamsUTNurse Practitioner$1.1M$0
    Foundation For Family LifeUTClinical Medical Laboratory$0$460.2K
    David JohnsonUTPediatric Dentistry$0$309.9K
    Braden BrklacichUTFoot & Ankle Surgery Podiatrist$214.3K$0
    Jana ParkerUTDermatology Physician$134K$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. Utah Distribution
    Haley Summerhays — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah