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    v1.0.28
    OpenPayerNPI Medicare & MedicaidBrad Ginevan
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    Brad Ginevan — Billing Profile & Reimbursement Data

    NPI 1285732016 · Sheffield, AL · Family Medicine Physician

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    Brad Ginevan is a family medicine physician provider located in Sheffield, Alabama. This profile covers 42 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
    OrganizationBrad Ginevan
    Address342 Cox Blvd
    CitySheffield
    StateAL
    ZIP35660
    TaxonomyFamily Medicine Physician
    NPI EnumeratedSeptember 20, 2006

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

    Payer SourceTotal Paid
    Medicare$217.3K
    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.

    42 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…1,110$60$65.4K
    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…470$80$38.5K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…690$40$26.3K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…120$130$15.5K
    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…220$60$12.3K
    99238The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…150$60$8.8K
    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…330$20$5.2K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.330$10$4.3K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit40$120$4.2K
    99457The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…120$30$3.9K

    Showing 1–10 of 42

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 42 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    42 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    93306381440170$80$19.1K
    992148887,330120$80$16.8K
    7845224525050$210$16.2K
    9949042350150$40$14.1K
    99232762,530100$60$13.3K
    80053177670140$10$13.1K
    844437756090$20$12.2K
    80061109590120$10$12.1K
    A9500889080$90$12K
    G04391,1001,52070$120$11K

    Showing 1–10 of 42

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Shoals Primary Care, LLCALFamily Medicine Physician$0$5.8M
    Zaman ShahALInternal Medicine Physician$262.5K$0
    Javar Myatt-jonesALFamily Medicine Physician$206.1K$0
    Aaron KarrALFamily Medicine Physician$190K$0
    Warren NormanALDiagnostic Radiology Physician$185K$0
    John ScottALDiagnostic Radiology Physician$158.6K$0
    Carlos LiottaALSports Medicine (Family Medicine) Physician$155.1K$0
    Albert RidgewayALSpecialist$142.2K$0
    Paul MorrisALCardiovascular Disease Physician$138.3K$0
    Todd DurhamALDiagnostic Radiology Physician$129K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hh Health System - Shoals LLCALGeneral Acute Care Hospital$0$5M
    Northwest Alabama Health Services, LLCALAmbulance$1.3M$2.3M
    Northwest Emergency Physician GroupALEmergency Medicine Physician$0$2.8M
    Colbert County Health Dept Fp ClinicALPublic Health or Welfare Agency$0$1.9M
    Oral & Facial Surgery Of The Shoals, L.L.C.ALOral and Maxillofacial Surgery (Dentist)$0$1.6M
    State Of Alabama Department Of Public HealthALHome Health Agency$0$1.3M
    Faith Based Psychological Associates, IncALCommunity/Behavioral Health Agency$0$1.3M
    Jerry WilliamsALCardiovascular Disease Physician$370.6K$0
    Charles ThompsonALFamily Medicine Physician$303.5K$0
    Anthony HortonALFamily Medicine Physician$301.9K$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. Alabama Distribution
    Brad Ginevan — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama