Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidCynthia Griffin
    Ask Trek AI about this page

    Cynthia Griffin — Billing Profile & Reimbursement Data

    NPI 1306246269 · Madison, WI · Family Nurse Practitioner

    Customize your policy alerts

    Sign up for Cynthia Griffin — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Cynthia Griffin is a family nurse practitioner provider located in Madison, Wisconsin. This profile covers 4 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationCynthia Griffin
    Address502 Lone Eagle Dr
    CityMadison
    StateWI
    ZIP53713
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedAugust 28, 2014

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

    Payer SourceTotal Paid
    Medicare$10.1K
    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.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…50$110$5.8K
    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…10$130$1.7K
    G0318Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary…80$20$1.4K
    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…30$50$1.2K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    4 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    993506513050$120$13.3K
    9949713119040$60$3.5K
    99345557020$120$3.2K
    G031862040$20$1.4K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Upland Hills Health, Inc.WICritical Access Hospital$0$6.5M
    Linda ArmstrongGADiagnostic Radiology Physician$643.9K$175.1K
    Robbie ShootsNMDiagnostic Radiology Physician$597.6K$10.1K
    Cyrus AndersonFLDiagnostic Radiology Physician$388.5K$0
    Kevin HicksVADiagnostic Radiology Physician$159.2K$131.6K
    Ben PaxtonAZDiagnostic Radiology Physician$195.8K$0
    Brian EvansCAVascular & Interventional Radiology Physician$156.2K$0
    Ian FischerOKDiagnostic Radiology Physician$148.1K$0
    John ChoMDDiagnostic Radiology Physician$143.1K$0
    Monik LalaMIDiagnostic Radiology Physician$132.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Exact Sciences Laboratories, LLCWIClinical Medical Laboratory$299.3M$276.5M
    Fw Consulting Dhfs LLCWISupports Brokerage Agency$0$77.5M
    Family Support And Resource CenterWICase Management Agency$0$14.4M
    Addiction Services And Pharmacotherapy, ScWIMethadone Clinic$200.2K$7.4M
    United Cerebral Palsy Of Greater Dane CountyWIEarly Intervention Provider Agency$0$7.1M
    Fresenius Kidney Care Madison, LLCWIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$4.6M
    Planned Parenthood Of WisconsinWIAmbulatory Family Planning Facility$0$3.5M
    Bio-medical Applications Of Wisconsin, Inc.WIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$3.1M
    Night Owl Support Systems, LLCWIIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$2.9M
    University Of Wisconsin System Non PayrollWIAdult Mental Health Clinic/Center$0$2.6M

    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. Wisconsin Distribution
    Cynthia Griffin — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin