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    v1.0.28
    OpenPayerNPI Medicare & MedicaidWanda Cawthon
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    Wanda Cawthon — Billing Profile & Reimbursement Data

    NPI 1356374334 · Myrtle Beach, SC · Adult Health Nurse Practitioner

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    Wanda Cawthon is a adult health nurse practitioner provider located in Myrtle Beach, South Carolina. This profile covers 9 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
    OrganizationWanda Cawthon
    Address1211 48th Avenue N
    CityMyrtle Beach
    StateSC
    ZIP29577
    TaxonomyAdult Health Nurse Practitioner
    NPI EnumeratedJuly 10, 2006

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

    Payer SourceTotal Paid
    Medicare$35.9K
    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J7320Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg3,230$10$16.2K
    20611In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…140$60$8.6K
    20553Trigger point injection, or TPI, is a medical procedure in which the provider injects an anesthetic or corticosteroid substance into three or more muscles to relieve painful areas or knots in muscles…120$30$4K
    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…50$70$3.2K
    72100The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays…40$20$800
    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$40$760
    72050In this diagnostic procedure, the provider performs four to five X–ray views of the cervical spine. The provider performs this cervical radiological study to examine the spine for conditions…20$30$640
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…20$30$640
    73560In this procedure, the provider takes one or two X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.30$20$430

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J73207202,980$10$49.1K
    992136,8397,690100$60$10.8K
    206114516060$70$10.1K
    992031,0902,97030$70$3.9K
    2055384030$40$3.1K
    992121,1851,82030$30$2.5K
    7210027763030$20$940
    7356023538030$10$870
    720509720020$30$840

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Amanda CalhounSCFamily Nurse Practitioner$43.8K$50.4K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kings Highway Dental Health Center, P.C.SCGeneral Practice Dentistry$0$9.4M
    Beachside Home Service, LLCSCIn Home Supportive Care Agency$0$6.3M
    Active Sc One, Inc.SCAdult Day Care Clinic/Center$0$6.2M
    Southern Home Care Services, Inc.SCIn Home Supportive Care Agency$0$4.5M
    Patrick FranckeSCRadiation Oncology Physician$2.8M$0
    David ZaengerSCRadiation Oncology Physician$2.3M$0
    Stephen AndrewsSCRadiation Oncology Physician$2M$0
    Mofdaps And CompanySCPsychiatry Physician$0$1.9M
    Coastal Wellness Center, LLCSCPrimary Care Clinic/Center$0$1.8M
    Myrtle Beach Treatment Specialists LLCSCMethadone Clinic$116.9K$1.4M

    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. South Carolina Distribution
    Wanda Cawthon — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina