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    OpenPayerNPI Medicare & MedicaidKristi Hunter
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    Kristi Hunter — Billing Profile & Reimbursement Data

    NPI 1356411474 · Evans, GA · General Practice Physician

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    Kristi Hunter is a general practice physician provider located in Evans, Georgia. This profile covers 27 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
    OrganizationKristi Hunter
    Address404 Town Park Blvd
    CityEvans
    StateGA
    ZIP30809
    TaxonomyGeneral Practice Physician
    NPI EnumeratedNovember 8, 2006

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

    Payer SourceTotal Paid
    Medicare$6.4M
    Medicaid$0

    Key Findings

    This provider is effectively a Medicare-only biller with lifetime Medicare revenue of $6.4M and no Medicaid billing on file; the practice’s commercial/state Medicaid exposure is minimal to nonexistent based on the available claims. That concentrated payer mix indicates the entity operates largely within the Medicare fee-for-service ecosystem rather than as a mixed Medicaid/Medicare provider.

    Revenue is highly concentrated in a small set of biologic drug codes: the precomputed top 3 Medicare codes (J2350, J3380, J2357) together account for 36.7% of this provider’s total Medicare revenue. Individually those top three line items are J2350 $957.6K (14.9%), J3380 $754.8K (11.8%), and J2357 $643.5K (10.0%), so a large share of income is driven by administration of specific high-cost injectable therapies.

    The CPT/HCPCS mix strongly signals an infusion/biologics-focused operation: high-revenue J‑codes include monoclonal antibodies and immune products such as J2350 (ocrelizumab), J3380 (vedolizumab), J2357 (omalizumab), J1569/J1561 (immune globulin), and J1745 (infliximab), and the practice also bills infusion administration codes (e.g., 96365, 96366, 96372). Together these drug and administration codes point to an outpatient infusion clinic or specialty practice that routinely delivers multi‑hour biologic infusions and onsite injectable therapies.

    The provider is a national outlier on several specific biologic administrations: J3380 (rank #8 of 620, 99th percentile) is labeled an "extreme outlier, far above typical national volume," and J2357 (rank #15 of 581, 98th percentile) and J0517 (rank #9 of 200, 96th percentile) are "notably above typical" national volumes. These rankings indicate the practice is a major high-volume participant for a subset of biologic drugs nationally, rather than being uniformly high-volume across all product lines.

    Competitive position is mixed across codes: some high-revenue products are described as "typical, unremarkable" in national volume (for example J2350 ranks #13 of 105, 88th percentile, and J3245 ranks at the 75th percentile), while others (e.g., J9312 rank #241 of 317, 23rd percentile; J3111 rank #733 of 970, 24th percentile) sit well below national leaders. This heterogeneous profile suggests the provider concentrates strength in specific therapies while maintaining typical or modest participation in other drug categories.

    Operationally, the presence of infusion and chemotherapy administration codes implies capacity for multi-hour infusions and a staffed infusion suite: examples include 96365 (807 claims, $36.3K, 98th percentile, "notably above typical national volume"), 96366 (700 claims, $10.5K, 97th percentile), and chemotherapy-related code 96413 (365 claims, $32.9K). These utilization patterns support an operational model with on-site nursing and infusion workflow rather than a pure office‑visit practice.

    The provider’s business is materially exposed to shifts in biologic utilization or reimbursement because a concentrated set of injectable therapies drives a large share of revenue; with the top three codes accounting for 36.7% of Medicare revenue, changes to coverage, pricing, or referral patterns for those drugs could meaningfully affect revenue. This concentration elevates commercial and clinical dependency on continued access to and administration of those specific products.

    Tenure data show the NPI was enumerated on 2006-11-08 (~20 years ago), indicating a long-established practice presence. That multi‑year tenure aligns with the observed scale and specialization in infusion-based care and likely reflects sustained investment in infusion infrastructure and referral relationships.

    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.

    27 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J2350Injection, ocrelizumab, 1 mg25,200$40$957.6K
    J3380Injection, vedolizumab, intravenous, 1 mg44,400$20$754.8K
    J2357Injection, omalizumab, 5 mg21,450$30$643.5K
    J3245Injection, tildrakizumab, 1 mg5,700$110$627K
    J0517Injection, benralizumab, 1 mg3,780$130$499K
    J1569Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg13,410$40$482.8K
    J0897Injection, denosumab, 1 mg23,400$20$421.2K
    J2182Injection, mepolizumab, 1 mg16,900$20$388.7K
    J2356Injection, tezepelumab-ekko, 1 mg27,930$10$363.1K
    J1745Injection, infliximab, excludes biosimilar, 10 mg12,480$30$324.5K

    Showing 1–10 of 27

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    27 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J235011016,200$40$651.5K
    J32453105,900$110$609.5K
    J338011025,350$20$435.3K
    J235611027,930$10$375.7K
    J931211104,620$60$307.4K
    J15611108,020$40$296.9K
    J218211012,600$20$291.1K
    J130631010,220$10$266.3K
    J15691104,710$40$237.6K
    J23572105,520$30$231.9K

    Showing 1–10 of 27

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Palmetto Infusion Services LLCSCInfusion Therapy Clinic/Center$0$93.6M
    Rachel TedescoNCNurse Practitioner$5.7M$0
    Stephen ParksSCFamily Medicine Physician$3.9M$0
    Lindsay GambleSCFamily Nurse Practitioner$3.7M$0
    Lisa SaulsSCFamily Nurse Practitioner$3.4M$0
    Rosalee UnwinSCFamily Nurse Practitioner$2.9M$0
    Whitley WeatherfordSCFamily Nurse Practitioner$2.7M$0
    Glenda CollinsSCFamily Nurse Practitioner$2.3M$0
    James MontgomerySCGynecology Physician$1.9M$0
    Eliza ShinallGAFamily Nurse Practitioner$1.5M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Pediatric Office, LLCGAPediatric Adolescent Medicine Physician$0$2M
    Sanders CallawayGAMOHS-Micrographic Surgery Physician$1.4M$0
    Augusta Endoscopy Center, LLC.GAEndoscopy Clinic/Center$911.9K$0
    Kidnetic Energy,incGAPhysical Therapist$0$832K
    Med Now Urgent Care, LLCGAUrgent Care Clinic/Center$0$713.5K
    Evans Imaging, LLCGARadiology Clinic/Center$435.4K$0
    Kenneth JohnsonGASurgical Physician Assistant$413K$0
    Jennifer WardGAInternal Medicine Physician$367.7K$0
    James KayGASpecialist$241.2K$0
    Robert WestGAInternal Medicine Physician$230.5K$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. Georgia Distribution
    Kristi Hunter — 11 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia