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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDenise Abernethy
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    Denise Abernethy — Billing Profile & Reimbursement Data

    NPI 1376718650 · Oak Creek, WI · Phlebology Physician

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    Denise Abernethy is a phlebology physician provider located in Oak Creek, Wisconsin. 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationDenise Abernethy
    Address7003 S Howell Ave Ste 1600
    CityOak Creek
    StateWI
    ZIP53154
    TaxonomyPhlebology Physician
    NPI EnumeratedApril 28, 2008

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

    Payer SourceTotal Paid
    Medicare$222.9K
    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 CodeDescriptionClaimsAvg PaidRevenue
    36465In this procedure, the provider injects a noncompounded foam sclerosing solution into a single incompetent truncal vein of the extremity under ultrasound guidance to guide the dispersion of foam,…130$980$131.3K
    36475In this procedure, the provider inserts a specially designed radiofrequency probe through the skin and destroys the wall of a diseased vein in an extremity. The provider reports this code for…40$770$27.9K
    36466In this procedure, the provider injects a noncompounded foam sclerosing solution into multiple incompetent truncal veins under ultrasound guidance to guide the dispersion of foam, most commonly to…20$1,070$16.1K
    36471In this procedure, the provider injects a sclerosing solution into more than one incompetent veins of the same leg, most commonly to treat varicose veins. It may be used to treat other vascular…110$140$15.4K
    93970The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…80$130$10K
    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…70$90$6.5K
    99204The provider sees a new 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 provider…40$110$4.4K
    76942Ultrasonography uses sound waves of higher frequencies (above the normal hearing capacity of a healthy human, i.e., 20 kHz) to visualize inner organs. When the sound waves pass through the human…100$40$4.3K
    93971The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arm or leg). This is a unilateral or limited…40$90$3.7K
    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$70$2.2K

    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 CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    36465110120$1,000$109.3K
    3647541020$640$22.3K
    3646611020$1,070$16.1K
    992145,1979,80080$70$9.2K
    3647111040$140$7K
    992137,9689,38060$50$4.7K
    992049843,39030$100$3.7K
    992031,2102,82030$60$2.4K
    939701533020$40$980
    769421125020$30$900

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nathan BorenWISurgery Physician$10.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Eye Surgery Center Of Wisconsin, LLCWIAmbulatory Surgical Clinic/Center$1.6M$348.9K
    Fresenius Medical Care Midwest Dialysis, LLCWIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$1.5M
    Oak Creek-franklin Jt. School DistrictWILocal Education Agency (LEA)$0$1.4M
    Laboratory Corporation Of AmericaWIClinical Medical Laboratory$624.5K$776.1K
    Children's Medical GroupWIPediatrics Physician$0$1.3M
    City Of Oak CreekWILand Ambulance$305.2K$911.2K
    Duy-bao DinhWIFamily Medicine Physician$568.1K$0
    Drexel Town Square Surgery Center, LLCWIAmbulatory Surgical Clinic/Center$236.3K$0
    Christopher LeeWIOtolaryngology Physician$174.6K$22.2K
    Nawras AlshoubakiWINephrology Physician$169.7K$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. Wisconsin Distribution
    Denise Abernethy — 4 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin