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NPI 1407157159 · Apo, AE · Family Nurse Practitioner
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Eric Butters is a family nurse practitioner provider located in Apo, Armed Forces Europe. This profile covers 1 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services. Note: "AE" is a US military postal designation for Armed Forces stationed in Europe, the Middle East, Africa, or Canada — not a traditional US state; claims coded under it are grouped and benchmarked here the same way a traditional state would be.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Eric Butters |
| Address | 48th Mdg/raf Lakenheath |
| City | Apo |
| State | AE (Armed Forces Europe) |
| ZIP | 09461 |
| Taxonomy | Family Nurse Practitioner |
| NPI Enumerated | November 11, 2010 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $18.5K |
| Medicare | $2.6K |
Medicaid is the dominant revenue source for this provider: total Medicaid revenue is $18.5K versus total Medicare revenue of $2.6K, so the practice’s billed activity is concentrated on Medicaid payers rather than Medicare. This pattern suggests the provider’s active patient panel or contracting environment skews toward Medicaid-covered patients rather than a Medicare-heavy practice mix.
The operation appears to be a primary care/ambulatory E/M practice based on the top-coded services. The top Medicare and Medicaid codes are 99214 and 99213, which describe established patient office visits (99214 involving a moderate level of medical decision making and/or 30+ minutes), indicating routine outpatient management of established patients and likely ongoing chronic disease or longitudinal care.
Revenue concentration is high across both payers: precomputed data show the top 3 Medicare codes by revenue account for 100.0% of Medicare revenue and the top 3 Medicaid codes by revenue account for 100.0% of Medicaid revenue. On Medicare the single listed code 99214 represents $2.6K in revenue (36 claims, $71 avg paid/claim), and on Medicaid 99214 and 99213 together comprise the listed Medicaid revenue with 99214 at $16.8K (171 claims, $98 avg paid/claim) and 99213 at $1.8K (24 claims, $73 avg paid/claim).
National competitive standing on the Medicare-side is modest: 99214 revenue ranks #375936 of 479517 providers nationally (21th percentile) and is described as "typical, unremarkable volume for this code." This ranking indicates the provider is not a major national player for this CPT code and posts routine Medicare E/M volume relative to peers.
State-level competitive standing within Medicaid shows a small peer set and modest placement: 99214 ranks #3 of 5 in-state (50th percentile; described as "typical, unremarkable volume") while 99213 ranks #4 of 5 in-state (0th percentile; also described as "typical, unremarkable volume"). These positions imply the provider is an ordinary participant among a very small group of in-state billers for these codes rather than a leading regional provider.
Claims volume differences underscore payer mix: the provider reported 36 Medicare claims for 99214 versus 171 Medicaid claims for the same code, with corresponding revenues of $2.6K (Medicare) and $16.8K (Medicaid). This disparity in claim counts and dollars reinforces that patient encounters billed to Medicaid form the bulk of the clinical workload captured in the dataset.
The provider has an established enrollment history, with an NPI enumerated on 2010-11-11 (~16 years ago). Sustained enumeration combined with the observed billing pattern suggests a steady, long-standing practice presence that predominantly serves Medicaid patients rather than generating larger Medicare E/M volume.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The 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… | 40 | $70 | $2.6K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes. Note: this provider's state, "AE," is a US military postal designation for Armed Forces stationed in Europe, the Middle East, Africa, or Canada — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 6,040 | 20 | 70 | $90 | $15.4K |
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The 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… | 170 | $100 | $16.8K |
| 99213 | The 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 | $70 | $1.8K |
How this provider's Medicaid billing volume and revenue compare to other Armed Forces Europe providers billing the same CPT/HCPCS codes. Note: "AE" is a US military postal designation for Armed Forces stationed in Europe, the Middle East, Africa, or Canada — not a traditional US state; claims coded under it are benchmarked here as their own state-equivalent group.
Full comparison — all codes billed, vs. Armed Forces Europe median
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99214 | The 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… | 3 | 10 | 170 | $70 | $32.1K |
| 99213 | The 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… | 4 | 10 | 30 | $50 | $11.3K |
Other providers in the same ZIP code as Eric Butters, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Mark Heino | AE (Armed Forces Europe) | Family Medicine Physician | $31.3K | $136.8K |
| Joshua Latham | AE (Armed Forces Europe) | Family Medicine Physician | $84.3K | $0 |
| Immacula Nezier | AE (Armed Forces Europe) | Women's Health Nurse Practitioner | $68.4K | $0 |
| Delila Donaldson | AE (Armed Forces Europe) | Clinical Social Worker | $18.2K | $36.4K |
| Linda Schemm | AE (Armed Forces Europe) | Physical Therapist | $19.5K | $0 |
| Hilary Stamp | AE (Armed Forces Europe) | Pediatrics Physician | $0 | $19.1K |
| Samuel Kjome | AE (Armed Forces Europe) | Family Medicine Physician | $16.2K | $0 |
| Michelle Sanger | AE (Armed Forces Europe) | Physician Assistant | $13.9K | $0 |
| Claire Schmidt | AE (Armed Forces Europe) | Optometrist | $13.8K | $0 |
| Jennifer Chow | AE (Armed Forces Europe) | Child & Adolescent Psychiatry Physician | $10.7K | $0 |
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