Andrea Hetherington — Billing Profile & Reimbursement Data
NPI 1316479678 · Johnson City, TN · Obstetrics & Gynecology Nurse Practitioner
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Andrea Hetherington is a obstetrics & gynecology nurse practitioner provider located in Johnson City, Tennessee. This profile covers 11 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.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Andrea Hetherington |
| Address | 325 N State Of Franklin Rd Fl 1 |
| City | Johnson City |
| State | TN |
| ZIP | 37604 |
| Taxonomy | Obstetrics & Gynecology Nurse Practitioner |
| NPI Enumerated | March 28, 2017 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $337.9K |
| 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.
11 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99309 | The 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… | 2,020 | $70 | $139.2K |
| 99308 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider… | 1,910 | $50 | $91.8K |
| 99490 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 860 | $40 | $34.2K |
| 99306 | The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least… | 240 | $120 | $28.3K |
| 99439 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 480 | $30 | $14.3K |
| 99305 | The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least… | 170 | $90 | $14.1K |
| 99487 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 60 | $90 | $5.2K |
| 99489 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 100 | $50 | $4.5K |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | 130 | $30 | $3.7K |
| 99310 | The 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… | 20 | $100 | $2.4K |
Showing 1–10 of 11
Medicare: Competitive Analysis & Benchmarks
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
11 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99309 | 10 | 660 | 270 | $70 | $29.8K |
| 99308 | 6 | 620 | 150 | $50 | $13.7K |
| 99490 | 22 | 400 | 130 | $40 | $11.7K |
| 99310 | 216 | 270 | 60 | $100 | $11.6K |
| 99306 | 10 | 180 | 50 | $130 | $10.6K |
| 99439 | 33 | 240 | 90 | $30 | $7.8K |
| 99487 | 12 | 50 | 20 | $90 | $7.7K |
| 99305 | 22 | 200 | 50 | $90 | $7.6K |
| 99489 | 7 | 40 | 30 | $50 | $5.8K |
| 99307 | 125 | 190 | 50 | $30 | $3.2K |
Showing 1–10 of 11
Nearby Providers
Other providers in the same ZIP code as Andrea Hetherington, ranked by combined Medicare and Medicaid revenue.
Frequently Asked Questions
References
- 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
- 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.
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