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    OpenPayerNPI Medicare & MedicaidLorie Hutchison
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    Lorie Hutchison — Billing Profile & Reimbursement Data

    NPI 1417394727 · Saipan, MP · Physician Assistant

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    Lorie Hutchison is a physician assistant provider located in Saipan, Northern Mariana Islands. This profile covers 2 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
    OrganizationLorie Hutchison
    Address1 Lower Navy Hill Road
    CitySaipan
    StateMP
    ZIP96950
    TaxonomyPhysician Assistant
    NPI EnumeratedMay 28, 2013

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

    Payer SourceTotal Paid
    Medicare$3.6K
    Medicaid$0

    Key Findings

    This provider has very limited Medicare billing overall, with total Medicare revenue of $3.6K and no Medicaid billing on file; practically speaking the provider operates with an effectively single-payer (Medicare-only) footprint in the claims record. The absence of any Medicaid entries means there is no observable Medicaid payer mix or in-state Medicaid activity to analyze for this NPI.

    Revenue is highly concentrated in a narrow set of nursing-facility E/M services: the precomputed top-3 Medicare codes account for 100.0% of this provider's total Medicare revenue, with 99308 representing $2.7K (72.7%) and 99309 representing $994 (27.3%). This concentration indicates that nearly all Medicare income reported for this NPI derives from a very small set of post-acute / nursing facility visit codes.

    The code mix (99308 and 99309) signals a service-line focused on subsequent nursing facility care visits and E/M work typical of providers who perform on-site nursing home follow-up. Code descriptions show 99308 corresponds to lower-intensity subsequent nursing facility visits (at least 20 minutes) while 99309 corresponds to moderate-intensity visits (at least 30 minutes), so the practice activity is centered on SNF E/M encounters rather than procedures or outpatient clinic visits.

    Utilization by claim count and average payment shows a clear tilt toward lower-intensity visits by volume: 99308 has 53 claims at an average paid/claim of $50, while 99309 has 14 claims at an average paid/claim of $71. In other words, the provider bills many more lower-intensity subsequent nursing facility visits (99308) even though the per-claim payment is higher for the less-frequent 99309.

    National competitive standing for these codes is modest to minimal. For 99308 the provider ranks #19148 of 25763 (25th percentile; typical, unremarkable volume for this code), indicating unremarkable national volume; for 99309 the provider ranks #27576 of 28092 (1th percentile; typical, unremarkable volume for this code), placing the NPI near the lower end of national peers for that code. Taken together these ranks indicate the provider is a modest participant nationally in the nursing-facility E/M space rather than a major or dominant billing entity.

    The NPI has been enumerated since 2013-05-28 (~13 years ago), showing a longstanding registration despite the small billing footprint reported to Medicare. Longevity of enumeration combined with low overall Medicare revenue suggests either a limited clinical panel, sporadic Medicare activity, or clinical work concentrated in settings or payers not captured here (e.g., non-Medicare patients or uncompensated care).

    From a business risk and operational perspective, this provider’s revenue profile is narrow and sensitive to changes in nursing-facility referral patterns or payment policy: with 100.0% of Medicare revenue tied to the top-three codes and no Medicaid billing on file, any decline in SNF E/M volumes could materially reduce reported Medicare income. Analysts should treat this NPI as a small-scale, SNF-focused billing entity and, if deeper insight is required, seek additional data on private payer activity, facility affiliations, or non-billed clinical work that might not appear in Medicare/Medicaid claims.

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…50$50$2.6K
    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…10$70$990

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    2 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99308210600$60$33.6K
    99309210220$80$17.4K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Of Utah Pediatric Acuity CareUTPediatric Emergency Medicine (Pediatrics) Physician$0$7.3M
    University Of Utah Acuity Care ServicesUTCritical Care Medicine (Internal Medicine) Physician$0$1M
    George KnightMTDiagnostic Radiology Physician$141.3K$0
    John BrandonMTDiagnostic Radiology Physician$126.3K$0
    Jarett ThelenMTDiagnostic Radiology Physician$123.2K$800
    Zachary BlandMTVascular & Interventional Radiology Physician$118.9K$0
    Scott PaulsenMTDiagnostic Radiology Physician$110.2K$0
    Tara Bowman SeitzMTDiagnostic Radiology Physician$106.7K$0
    Sikandar AnsariWIPulmonary Disease Physician$106.6K$0
    Andrew CoxORVascular & Interventional Radiology Physician$99.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jeanolivia GrantMPFamily Medicine Physician$228.7K$0
    Northern Mariana Islands GovernmentMPLand Ambulance$180.9K$0
    Keri AllenMPOphthalmology Physician$96.8K$0
    Vicente AldanMPFamily Medicine Physician$87.4K$0
    Ahmad Al-alouMPInternal Medicine Physician$36.1K$0
    Norma AdaMPInternal Medicine Physician$32.8K$0
    Mark RobertsonMPOptometrist$25.8K$0
    David HardtMPOptometrist$24.1K$0
    Donald HardtMPOptometrist$23.9K$0
    Pamela CarhillMPPhysical Therapist$22K$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. Northern Mariana Islands Distribution
    Lorie Hutchison — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Northern Mariana Islands