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    v1.0.28
    OpenPayerNPI Medicare & MedicaidShannon Cox
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    Shannon Cox — Billing Profile & Reimbursement Data

    NPI 1376020438 · Prince Frederick, MD · Nurse Practitioner

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    Shannon Cox is a nurse practitioner provider located in Prince Frederick, Maryland. This profile covers 10 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
    OrganizationShannon Cox
    Address131 Main St Ste 202
    CityPrince Frederick
    StateMD
    ZIP20678
    TaxonomyNurse Practitioner
    NPI EnumeratedJuly 23, 2018

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

    Payer SourceTotal Paid
    Medicare$125.2K
    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.

    10 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…730$80$57.8K
    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…390$70$27.1K
    69210The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.370$30$11.8K
    31231In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.80$130$10.9K
    31575The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.80$90$7K
    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…60$60$4K
    30801In this procedure, the provider uses methods like bipolar cautery, reducing the tissue volume, radiofrequency, or somnoplasty to ablate the superficial area of the inferior turbinates.20$160$2.5K
    92504In this diagnostic procedure, the provider uses a microscope to examine the ears of a patient. He may also sometimes examine the patient’s nose for direct visualization to help with diagnosis…120$20$2.3K
    92567In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss.110$10$1.1K
    69200The provider removes a foreign body from the external auditory canal without the use of general anesthesia.20$50$820

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921499410,270150$90$24.1K
    312315513070$160$20.6K
    992135,8019,280100$60$12.5K
    315756215070$100$8.4K
    99203133,63040$80$5K
    692102935030$30$3.7K
    3080111020$160$2.5K
    92504186060$20$2.4K
    92567117230110$10$1.9K
    6920052020$60$990

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    David WarrowMDOphthalmology Physician$15.1M$8.3K
    Minuteclinic LLCMDFamily Nurse Practitioner$0$14.1M
    Allen HuMDOphthalmology Physician$8.9M$32.5K
    Minuteclinic Diagnostic Of Rhode Island, LLCRIFamily Nurse Practitioner$0$1.2M
    Scott LondonMDOtolaryngology Physician$493.8K$0
    Tam NguyenMDOtolaryngology Physician$272.9K$0
    Juan PardoMDOtolaryngology Physician$254.4K$0
    Joydeep SomMDOtolaryngology Physician$234.2K$0
    Mark SchneyerMDOtolaryngology Physician$231K$0
    Daniel SantosMDOtolaryngology Physician$216K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dwi Services IncMDSubstance Abuse Rehabilitation Facility$0$16.8M
    Dwi Services, IncMDSubstance Abuse Rehabilitation Facility$0$14.3M
    Calvert County Health DepartmentMDAdult Mental Health Clinic/Center$0$10.5M
    Calvert County Public SchoolsMDLocal Education Agency (LEA)$0$9.4M
    Southern Maryland Community Network, Inc.MDMental Illness Community Based Residential Treatment Facility$0$6.8M
    Bayside Recovery LLCMDCommunity/Behavioral Health Agency$0$5.1M
    Bhargesh P. Mehta, M.d., P.A.MDPediatrics Physician$0$4.4M
    Maryland Eye Surgery Center, L.L.C.MDAmbulatory Surgical Clinic/Center$1.7M$0
    Faris HawitMDDermatology Physician$794.7K$0
    Jason WannerMDOphthalmology Physician$568.4K$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. Maryland Distribution
    Shannon Cox — 1 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland