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    v1.0.28
    OpenPayerNPI Medicare & MedicaidElisha Clouse
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    Elisha Clouse — Billing Profile & Reimbursement Data

    NPI 1407122351 · Lawrenceburg, IN · Family Nurse Practitioner

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    Elisha Clouse is a family nurse practitioner provider located in Lawrenceburg, Indiana. This profile covers 17 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
    OrganizationElisha Clouse
    Address600 Wilson Creek Rd
    CityLawrenceburg
    StateIN
    ZIP47025
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedMarch 26, 2012

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

    Payer SourceTotal Paid
    Medicare$203.6K
    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…1,200$70$77.7K
    99349The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…430$80$33.6K
    99439The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…500$30$15K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…340$40$13.1K
    99306The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…110$120$12.4K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…260$50$11.6K
    99348The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…210$50$10K
    99310The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…70$100$7.2K
    99437A physician or other qualified healthcare professional personally performs management and care plan services for a patient with two or more chronic conditions, expected to last at least one year or…180$40$6.7K
    99491The provider, a physician or other healthcare professional, personally directs the evaluation and management of a patient with two or more chronic A physician or other qualified healthcare…90$50$5.1K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9930987730280$70$35K
    99308273690160$50$17.2K
    993494442090$80$13.6K
    9931012729060$100$12.8K
    9935013418050$110$11.2K
    993067934050$120$11K
    99490117510120$40$10.4K
    99491113050$60$5.4K
    993484335060$50$4.7K
    994392229060$30$4.6K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Extended Care Specialists, IncINAdult Medicine Physician$0$6.2M
    Health Services Corporation Of Southeastern IndianaINFamily Medicine Physician$0$4.2M
    Crystal WilesINFamily Nurse Practitioner$991.7K$0
    Zeeshan TayebOHPain Medicine (Physical Medicine & Rehabilitation) Physician$526.9K$11.5K
    Saif ChoudhuryINInternal Medicine Physician$492.3K$0
    Marwan MustaklemINInternal Medicine Physician$480.3K$0
    Vinicius TeixeiraINPsychiatry Physician$452.9K$0
    Kelly ButlerNCPsychiatry Physician$448.9K$2.9K
    John LoudermilkFLFamily Medicine Physician$409.9K$0
    Elisha PayneOHFamily Nurse Practitioner$361.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Recover Together, LLCINAdult Mental Health Clinic/Center$0$122.3M
    Community Mental Health Center IncINPsychiatric Hospital$0$77.7M
    East Indiana Treatment Center, LLCINMethadone Clinic$275K$6.2M
    St Elizabeth Medical Center, IncINGeneral Acute Care Hospital$0$4.6M
    Hospital Medicine Services Of Tennessee PCINHospitalist Physician$0$3.7M
    Indiana Emergency Professionals PCINEmergency Medicine Physician$0$2.8M
    Stephen EliasonINAnatomic Pathology & Clinical Pathology Physician$272.1K$0
    Ronald AuerINOrthopaedic Surgery Physician$207.9K$0
    Ashok PenmetsaINCardiovascular Disease Physician$170.8K$0
    Gary LeakeINChiropractor$132.4K$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. Indiana Distribution
    Elisha Clouse — 1 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana