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    v1.0.28
    OpenPayerNPI Medicare & MedicaidKimberly Clough
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    Kimberly Clough — Billing Profile & Reimbursement Data

    NPI 1417595646 · Palm Coast, FL · Family Nurse Practitioner

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    Kimberly Clough is a family nurse practitioner provider located in Palm Coast, Florida. This profile covers 8 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
    OrganizationKimberly Clough
    Address63 Pine Haven Dr
    CityPalm Coast
    StateFL
    ZIP32164
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedDecember 18, 2019

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

    Payer SourceTotal Paid
    Medicare$20.8K
    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.

    8 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…210$80$17.7K
    87635Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…20$50$1.1K
    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…20$60$860
    87804The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.30$20$510
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…10$20$310
    87280The lab analyst performs a test to detect antigens of respiratory syncytial virus, called RSV, using methods such as an immunofluorescent antibody stain and fluorescence microscopy.10$10$160
    J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg70$1$70
    81003The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…30$1$60

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921412,47432,760140$90$25K
    9921328,28330,01080$60$12K
    8763510919030$50$8.1K
    87280210230$10$2.9K
    710462,3392,61060$10$2.2K
    878047771,36040$20$940
    J33012,0232,810150$1$460
    810031,9393,45040$1$370

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    David CarpenterFLFamily Medicine Physician$265.7K$0
    Traci ZimmerFLPrimary Care Nurse Practitioner$251.2K$0
    Brittany NewtonFLFamily Medicine Physician$232.9K$0
    Cassidy PattikAZInternal Medicine Physician$139.1K$0
    Shane SampsonOHFamily Medicine Physician$107K$0
    Kerri StephenALFamily Nurse Practitioner$2.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Memorial Hospital Flagler IncFLGeneral Acute Care Hospital$0$13.9M
    Padmaja SaiFLMedical Oncology Physician$3.7M$0
    Amit NanavatiFLInterventional Cardiology Physician$1.2M$0
    Renato AlfonsoFLSpecialist$795K$0
    Anthony TuckerFLOtolaryngology Physician$413.4K$0
    Arnaldo TrabuccoFLUrology Physician$363.1K$0
    Issam NasrFLGastroenterology Physician$228.7K$0
    Kizhake KurianFLCardiovascular Disease Physician$226.8K$0
    Dean AbtahiFLCardiovascular Disease Physician$222.4K$0
    Charles SteinFLPhlebology Physician$212.9K$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. Florida Distribution
    Kimberly Clough — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida