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    OpenPayerNPI Medicare & MedicaidShirline Johnson
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    Shirline Johnson — Billing Profile & Reimbursement Data

    NPI 1285111260 · Middletown, DE · Family Nurse Practitioner

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    Shirline Johnson is a family nurse practitioner provider located in Middletown, Delaware. This profile covers 8 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
    OrganizationShirline Johnson
    Address124 Sleepy Hollow Dr
    CityMiddletown
    StateDE
    ZIP19709
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedJuly 23, 2018

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

    Payer SourceTotal Paid
    Medicare$20.9K
    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.

    8 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…110$60$6.3K
    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…80$70$5.6K
    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…60$70$4.3K
    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…60$40$2.5K
    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$90$1.6K
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…20$20$320
    87880The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.10$20$220
    81002The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…30$1$100

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141,1941,830150$80$25.5K
    992139181,810120$60$13.6K
    9920475795030$110$6.5K
    9920325367040$70$5.3K
    7104610712080$10$2.7K
    87428105030$50$1.9K
    878809011020$20$410
    810025214030$1$160

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mep Health, LLCMDEmergency Medicine Physician$0$105.9M
    Christiana Care Quality PartnersDEUrgent Care Clinic/Center$0$7M
    Eddie FernandezMDEmergency Medical Services (Emergency Medicine) Physician$882.3K$0
    Alfred JumpMDEmergency Medicine Physician$709.3K$0
    Michael PerrautMDInternal Medicine Physician$479.5K$0
    Khanh NguyenMDEmergency Medicine Physician$357.3K$0
    Adam CormanGAEmergency Medicine Physician$39.9K$161.9K
    Cheri CartagenaMDMedical Physician Assistant$163.3K$0
    Mohammad MalikMDEmergency Medicine Physician$162.7K$0
    Patrick McginleyMDEmergency Medicine Physician$160.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Center For Interventional Pain Spine LLCDEInterventional Pain Medicine Physician$0$17.6M
    Lieske E2e Home Health Care IncDEHome Health Agency$0$9.2M
    Tobola Health Care Services Inc.DEIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$4.3M
    Delaware Smile CenterDEGeneral Practice Dentistry$0$3.1M
    Premier Physical Therapy And Sports Performance Limited PartnershipDEPhysical Therapist$0$2.3M
    Thrive Real Life Independence, LLCDEDevelopmentally Disabled Services Day Training Agency$0$1.2M
    Myeyedr Optometry Of Delaware PADEOptometrist$0$961.5K
    Scy DentalDEDental Clinic/Center$0$776.9K
    Middletown Familycare Associates LLCDEFamily Medicine Physician$0$719K
    Mccormick & Associates Of Middletown, LLCDEPsychiatric/Mental Health Clinical Nurse Specialist$0$590.7K

    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. Delaware Distribution
    Shirline Johnson — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware