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    OpenPayerNPI Medicare & MedicaidDawna Hernandez
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    Dawna Hernandez — Billing Profile & Reimbursement Data

    NPI 1295340651 · Tucson, AZ · Family Nurse Practitioner

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    Dawna Hernandez is a family nurse practitioner provider located in Tucson, Arizona. This profile covers 10 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
    OrganizationDawna Hernandez
    Address7091 E Speedway Blvd
    CityTucson
    StateAZ
    ZIP85710
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedSeptember 12, 2020

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

    Payer SourceTotal Paid
    Medicare$212.8K
    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…1,540$70$107.8K
    99349The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…420$80$33.9K
    99310The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…290$100$29.4K
    99497The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…350$50$17.4K
    99345The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends at least 75…80$130$10.1K
    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…90$110$9.8K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…30$80$2.5K
    99350The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…10$120$1.6K
    G0008Administration of influenza virus vaccine10$30$330
    90688This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose.10$20$260

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9930924440220$70$32.4K
    993103824080$110$22.6K
    992332,2092,670120$90$21K
    993495737090$80$17.9K
    9935023424070$120$17.6K
    992238582,77050$130$11K
    994972872050$60$5.6K
    99345912020$130$4.4K
    G00081,9622,14040$30$2.6K
    90688385040$20$1.1K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Arizona Total Care LLCAZMulti-Specialty Clinic/Center$0$16.7M
    Danielle SearsAZFamily Nurse Practitioner$995.7K$0
    Raul Rodriguez-soraAZChild & Adolescent Psychiatry Physician$753K$0
    Virag ShahNCFamily Medicine Physician$346.7K$0
    Nicole CiffoneAZAcute Care Nurse Practitioner$250.6K$0
    William MartzAZFamily Medicine Physician$178K$0
    Daniel SolomonAZFamily Nurse Practitioner$174.5K$0
    Michael LeAZMedical Physician Assistant$137.1K$0
    April HannaAZMedical-Surgical Clinical Nurse Specialist$89.8K$0
    Marie PondAZPsychiatric/Mental Health Nurse Practitioner$54.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Easter Seals Blake FoundationAZIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$80.8M
    Cobros Iii, LLCAZCommunity/Behavioral Health Agency$0$61.4M
    Easter Seals Blake FoundationAZCommunity/Behavioral Health Agency$0$24.3M
    Saguaro Senior Living, Inc.AZAssisted Living Facility$0$22.5M
    Community Medical Services Arizona-private, LLCAZMethadone Clinic$164.3K$14.2M
    Solace Behavioral Health LLCAZCommunity/Behavioral Health Agency$0$11.9M
    Devereux FoundationAZMental Illness Community Based Residential Treatment Facility$0$8.7M
    Caring Connections For Special Needs, LLCAZCommunity/Behavioral Health Agency$0$7.5M
    Mark WalshAZRetina Specialist (Ophthalmology) Physician$4.2M$0
    Sean GarrityAZOphthalmology Physician$3.4M$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. Arizona Distribution
    Dawna Hernandez — 1 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona