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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPatricia Hansen
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    Patricia Hansen — Billing Profile & Reimbursement Data

    NPI 1285745612 · Louisville, KY · Internal Medicine Physician

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    Patricia Hansen is a internal medicine physician provider located in Louisville, Kentucky. This profile covers 64 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
    OrganizationPatricia Hansen
    Address3 Audubon Plaza Dr
    CityLouisville
    StateKY
    ZIP40217
    TaxonomyInternal Medicine Physician
    NPI EnumeratedAugust 31, 2006

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

    Payer SourceTotal Paid
    Medicare$2.6M
    Medicaid$0

    Key Findings

    Practice revenue is concentrated in Medicare: Total Medicare revenue is $2.6M and there is no Medicaid billing on file, so this provider is effectively single-payer from a public-program perspective. The absence of Medicaid activity suggests either no participation in Medicaid or no claims submitted under Medicaid, which has implications for network contracting and payer mix analysis.

    Nearly half of Medicare revenue is driven by three lab-focused codes: the precomputed top-3 codes account for 48.1% of the provider’s Medicare revenue, led by 80061 ($446.6K, 17.6%), 80053 ($397.5K, 15.6%), and 84443 ($378.5K, 14.9%). This concentration indicates material exposure to the reimbursement and utilization dynamics of a small set of diagnostic services.

    The operational profile is dominated by outpatient diagnostic laboratory and chronic disease monitoring services rather than office visit/procedural revenue. High-volume lab codes such as 80061 (lipid panel), 80053 (comprehensive metabolic panel), 84443 (TSH), 82306 (vitamin D), 85025 (CBC), and 83036 (A1C) comprise the bulk of billings and point to routine lab ordering and chronic disease surveillance as the primary service line.

    Competitive standing for core lab codes is strong nationally: 80061 ranks #62 of 21671 providers nationally (100th percentile; notably above typical national volume), 80053 ranks #77 of 26416 providers nationally (100th percentile; notably above typical national volume), and 84443 ranks #73 of 19722 providers nationally (100th percentile; notably above typical national volume). Additionally, 83036 (A1C) is flagged as an extreme outlier (rank #74 of 44997; 100th percentile), indicating exceptionally high national volume for that diabetes monitoring test relative to peers.

    Clinical E/M and procedure revenue are a small proportion of Medicare billing: 99214 accounts for $61.6K (2.4% of Medicare revenue) and 99213 for $7.6K (0.3%), suggesting that face-to-face office visits are not the primary revenue driver. Vaccine administration codes (e.g., 90677, 90662, 91320) and a handful of other services appear but contribute only marginally to total revenue, reinforcing the lab-centric profile.

    Several frequently billed lab codes are described as having 'typical, unremarkable volume' despite contributing meaningfully to revenue (for example, 82306 $293.3K, 11.5% and 82607 $111.1K, 4.4%). This pattern—mix of very high national-volume outlier codes and numerous typically-volumed tests—suggests the provider’s throughput is substantial for core panels while additional tests align with normal practice behavior.

    Tenure: the provider’s NPI was enumerated on 2006-08-31 (~20 years ago), indicating a long-standing presence in the Medicare program. That longevity combined with high-volume lab ordering may reflect an established practice workflow or referral relationships that generate sustained laboratory testing volume.

    From a risk and business planning lens, the heavy reliance on a handful of high-volume laboratory codes creates revenue concentration risk if reimbursement or utilization patterns change for those tests. Analysts reviewing network participation, lab partnerships, or contract negotiations should prioritize the financial impact to these top codes (80061, 80053, 84443) because they collectively represent 48.1% of Medicare revenue.

    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.

    64 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.34,350$10$446.6K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.39,750$10$397.5K
    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…23,660$20$378.5K
    82306The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…10,110$30$293.3K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…30,150$10$241.2K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…22,690$10$204.2K
    82607The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood.7,410$20$111.1K
    84439The lab analyst performs a test to measure free thyroxine, or free T4, typically in patient serum.7,360$10$66.3K
    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…830$70$61.6K
    80048The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…7,250$10$58K

    Showing 1–10 of 64

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 64 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    64 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141667,230110$70$14.1K
    G04391,3521,57060$110$9.3K
    82306112070$30$8.5K
    9132020258030$130$8.4K
    992132,3057,25080$50$7.7K
    844431200100$20$6.8K
    906778384020$280$6.7K
    800611240120$10$5.8K
    876365320030$140$5.7K
    800531270110$10$5.5K

    Showing 1–10 of 64

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Medical Associates, Inc.KYInternal Medicine Physician$0$135.1M
    Community Medical Associates, Inc.KYMulti-Specialty Clinic/Center$0$49M
    Norton Hospitals IncKYMulti-Specialty Clinic/Center$0$3.4M
    Roneka RavenellINRheumatology Physician$1.3M$0
    Jennifer TeeterINSports Medicine (Family Medicine) Physician$1.2M$0
    Topeka Physician Group, LLCKSInternal Medicine Physician$0$963.7K
    Robin CurryKYSports Medicine (Family Medicine) Physician$628.2K$0
    John FlemingCAOrthopaedic Surgery of the Spine Physician$618.3K$0
    Christopher GravesILOrthopaedic Surgery of the Spine Physician$533.3K$83K
    Brandon CookFLOrthopaedic Surgery Physician$572.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kentucky Counseling Center, LLCKYCounselor$0$33.4M
    Southern Emergency Medical Specialists, P.s.c.KYEmergency Medicine Physician$0$17.7M
    Volunteers Of America Of Kentucky IncKYAddiction (Substance Use Disorder) Counselor$0$13.5M
    Volunteers Of America Mid-statesKYCommunity/Behavioral Health Agency$0$12.3M
    Diagnostic X-ray Physicians, PscKYDiagnostic Radiology Physician$0$7.7M
    Sleep Management, L.L.C.KYOxygen Equipment & Supplies (DME)$0$7.5M
    Cerebral Palsy Kids Center IncKYHealth Service Clinic/Center$0$3.6M
    Mercury Ambulance Service IncKYLand Ambulance$407.4K$2.2M
    Louisville Endoscopy Center, PLLCKYAmbulatory Surgical Clinic/Center$688K$454K
    Ameripro Ems Of Kentucky, LLCKYLand Ambulance$457K$315.7K

    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. Kentucky Distribution
    Patricia Hansen — 20 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky