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    OpenPayerNPI Medicare & MedicaidDavid Costner
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    David Costner — Billing Profile & Reimbursement Data

    NPI 1346542867 · Plains, MT · Nurse Practitioner

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    David Costner is a nurse practitioner provider located in Plains, Montana. This profile covers 15 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
    OrganizationDavid Costner
    Address406 W Railroad Ave
    CityPlains
    StateMT
    ZIP59859
    TaxonomyNurse Practitioner
    NPI EnumeratedDecember 4, 2010

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

    Payer SourceTotal Paid
    Medicare$54.3K
    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…470$70$31.6K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit150$110$16.1K
    99203The provider sees a new 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 provider…30$60$1.6K
    G0402Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment10$140$1.5K
    99211An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.80$10$770
    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…20$50$680
    83037The analyst performs a test using a drop of blood obtained by fingerstick or venipuncture from the patient to rapidly measure the level of glycosylated hemoglobin, HgbA1c. The analyst uses a device…50$10$470
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…20$30$440
    87426The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…10$30$420
    85610Prothrombin time is most commonly measured using the blood plasma. Chemicals like calcium and tissue factor are added to the plasma sample and then the time is noted when the plasma clots. To analyze…80$1$310

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141521,810100$70$12.4K
    G043910137090$90$10.7K
    992131,6471,73090$50$7.2K
    2061018721040$40$3.3K
    9920339970030$70$3.1K
    G0402546010$150$2.3K
    99211237040$20$1.4K
    930009311030$10$920
    87426294020$30$780
    93244324040$20$770

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Baxter County Regional Hospital IncARGeneral Acute Care Hospital$0$3M
    Baxter County Regional Hospital, IncARPediatrics Physician$0$1.6M
    Louis ElkinsARThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$368.5K$0
    Plains Hospital CorporationMTCritical Access Hospital$0$363.3K
    Brian MalteARPulmonary Disease Physician$340K$0
    Thomas KnoxAROrthopaedic Surgery Physician$259K$0
    Benjamin StevensARFamily Medicine Physician$211.4K$0
    William DyerARGastroenterology Physician$194.1K$0
    Abodunrin BadejoARGastroenterology Physician$183.3K$0
    Grant MathewsARNephrology Physician$181.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Little Bitterroot Services, Inc.MTIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$12.3M
    County Of Sanders - School District 1MTLocal Education Agency (LEA)$0$558.9K
    Plains Community Ambulance IncMTLand Ambulance$79.6K$8K
    Emily HerndonMTPhysical Therapist$84.5K$0
    Ross EcksteinMTPhysical Therapist$50.2K$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. Montana Distribution
    David Costner — 0 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Montana