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    v1.0.28
    OpenPayerNPI Medicare & MedicaidNathan Pillsbury
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    Nathan Pillsbury — Billing Profile & Reimbursement Data

    NPI 1285986695 · Amarillo, TX · Nurse Practitioner

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    Nathan Pillsbury is a nurse practitioner provider located in Amarillo, Texas. This profile covers 9 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
    OrganizationNathan Pillsbury
    Address705 Quail Creek Dr
    CityAmarillo
    StateTX
    ZIP79124
    TaxonomyNurse Practitioner
    NPI EnumeratedOctober 9, 2012

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

    Payer SourceTotal Paid
    Medicare$22.3K
    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…80$100$7.7K
    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…140$50$7K
    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$70$2.7K
    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…30$50$1.4K
    63047The provider performs a laminectomy (excision of the thin bony plate at the back of a vertebra), facetectomy (excision of an area of a vertebra characterized by its smooth surface), and foraminotomy…10$90$1.2K
    72083In this diagnostic procedure, the provider takes X–ray images of the entire thoracic (upper and middle) and lumbar (lower) spine from four or five projections (directions or angles) to evaluate the…20$50$690
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…20$30$670
    72110In this diagnostic procedure, the provider performs at least four X–ray views of the lumbosacral spine to evaluate the patient's spine for the presence of abnormal curves, fractures, or cancer.20$30$490
    22853The provider inserts a metallic cage or mesh device between two vertebrae and may use screws or flanges to attach it to the front part of the vertebrae; the device maintains the disc space, provides…20$30$440

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921425,31032,500110$80$17.6K
    9923210,04511,790100$60$15.8K
    6304726734020$510$13.2K
    992139,09929,79070$60$8.4K
    2285332334040$140$6.3K
    992043,13316,38030$110$5.6K
    992312,0542,70040$40$3.5K
    7211058583030$30$1.3K
    7208391020$40$640

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Michael LagroneTXOrthopaedic Surgery Physician$125.8K$0
    Wayne PaullusTXNeurological Surgery Physician$116.4K$0
    Melissa Fanelli-jordanTXFamily Nurse Practitioner$40.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Constantine SaadehTXRheumatology Physician$3.6M$0
    Srini ReddyTXHematology & Oncology Physician$2.5M$0
    Praveen TumulaTXHematology & Oncology Physician$2.2M$0
    James OsteenTXHematology & Oncology Physician$1.7M$0
    Aua Surgical Center, LLCTXAmbulatory Surgical Clinic/Center$1.4M$0
    Nicole DaveyTXRheumatology Physician$1.4M$0
    D SoyaTXCardiovascular Disease Physician$1M$0
    Arunava RayTXCardiovascular Disease Physician$821.1K$0
    Rajesh NambiarTXCardiovascular Disease Physician$818.7K$0
    Jade AndersonTXMedical Oncology Physician$814.2K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Texas Distribution
    Nathan Pillsbury — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas