Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Texas for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Texas only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Texas (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Kimberley Lowry (NPI 1295084499)

Field	Value
Entity Type	Individual
Organization	Kimberley Lowry
Address	1000 S Beckham Ave
City	Tyler
State	TX
ZIP	75701
Taxonomy	Nurse Practitioner
NPI Enumerated	September 4, 2012

Payer Source	Total Paid
Medicare	$14.3K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99238	The 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…	120	$50	$5.4K
99232	The 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…	100	$50	$4.4K
99231	The 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…	100	$30	$2.9K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	20	$40	$980
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	30	$20	$610
99281	The provider sees a patient for the lowest level emergency department visit.	30	$10	$160

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Kimberley Lowry — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99232	6,096	11,790	100	$60	$15.8K
99231	498	2,700	40	$40	$3.5K
99238	204	2,280	30	$60	$3K
99283	716	1,890	20	$50	$1.4K
99282	17	140	20	$30	$610
99281	1	10	20	$10	$130

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Amy Shuptrine	TX	Nurse Practitioner	$3.7M	$0
Angela Sutherland	TX	Nurse Practitioner	$2.3M	$0
Gautam Patankar	TX	Cardiovascular Disease Physician	$936.3K	$0
C. Branch	TX	Family Medicine Physician	$695.8K	$0
Anthony Davis	TX	Family Medicine Physician	$640K	$0
Mark Robbins	TX	Vascular Surgery Physician	$545.6K	$0
Michael Merrick	TX	Orthopaedic Surgery of the Spine Physician	$524.6K	$0
David Kerns	TX	Vascular Surgery Physician	$482.2K	$0
Yazan Khouri	TX	Cardiovascular Disease Physician	$468.2K	$0
Nghia Truong	TX	Internal Medicine Physician	$384.3K	$0

Kimberley Lowry — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References