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NPI 1417996117 · Springfield, TN · Specialist
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Carol Cantrell is a specialist provider located in Springfield, Tennessee. This profile covers 2 Medicare and 5 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Carol Cantrell |
| Address | 2304 Memorial Blvd |
| City | Springfield |
| State | TN |
| ZIP | 37172 |
| Taxonomy | Specialist |
| NPI Enumerated | June 6, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $36.4K |
| Medicare | $13.9K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99307 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the… | 350 | $30 | $9K |
| 99304 | The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves straightforward or low medical decision making or the provider… | 90 | $60 | $5K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.
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.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 1,960 | $10 | $21.6K |
| 99307 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the… | 2,320 | $10 | $13.9K |
| 90756 | This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no antibiotics, and is administered as a 0.5 mL injection into… | 40 | $1 | $150 |
| 99304 | The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves straightforward or low medical decision making or the provider… | 10 | $10 | $120 |
| G0008 | Administration of influenza virus vaccine | 40 | $1 | $40 |
How this provider's Medicaid billing volume and revenue compare to other Tennessee providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Tennessee median
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 1,197 | 4,050 | 620 | $30 | $183.9K |
| 99307 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the… | 27 | 210 | 200 | $10 | $19.8K |
| 99304 | The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves straightforward or low medical decision making or the provider… | 38 | 40 | 50 | $10 | $2.8K |
| 90756 | This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no antibiotics, and is administered as a 0.5 mL injection into… | 146 | 250 | 50 | $10 | $1.1K |
| G0008 | Administration of influenza virus vaccine | 319 | 530 | 50 | $1 | $240 |
Other providers in the same ZIP code as Carol Cantrell, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Northcrest Medical Center | TN | General Acute Care Hospital | $0 | $7M |
| Shine Pediatric Therapy | TN | Occupational Therapist | $0 | $6.9M |
| Springfield Health Services, LLC | TN | General Acute Care Hospital | $0 | $3.9M |
| Vip Midsouth, LLC | TN | Rural Health Clinic/Center | $0 | $3.2M |
| Robertson County Government Finance Office | TN | Land Ambulance | $523.3K | $1.9M |
| Ramesh Chadalavada | TN | Pulmonary Disease Physician | $117.5K | $106.3K |
| Catherine Bixby | TN | Family Nurse Practitioner | $206.9K | $0 |
| Sonia Murehead | TN | Family Nurse Practitioner | $184.3K | $0 |
| Mark Sanders | TN | Surgery Physician | $129.8K | $3.5K |
| Kevin Davis | TN | Podiatrist | $125.4K | $760 |
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