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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMelinda Abernethy
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    Melinda Abernethy — Billing Profile & Reimbursement Data

    NPI 1427254226 · Kalamazoo, MI · Reproductive Endocrinology Physician

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    Melinda Abernethy is a reproductive endocrinology physician provider located in Kalamazoo, Michigan. This profile covers 9 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
    OrganizationMelinda Abernethy
    Address1000 Oakland Dr
    CityKalamazoo
    StateMI
    ZIP49008
    TaxonomyReproductive Endocrinology Physician
    NPI EnumeratedJune 27, 2007

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

    Payer SourceTotal Paid
    Medicare$45.3K
    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    57288The provider places a sling made of fascia or synthetic material under the urethra to support it in the correct position to treat urinary stress incontinence. The procedure can be performed…30$480$13.4K
    57425The provider uses a laparoscopic approach to suspend the top of the vagina to a strong structure to treat vaginal vault prolapse using sutures or mesh.10$760$9.9K
    57250In this procedure, the provider repairs the vaginal wall where the rectum is pushing through to the vaginal canal. The provider also usually repairs and strengthens the perineum below the vaginal…20$330$7.3K
    57120In this procedure, the provider closes the vagina to treat vaginal prolapse.  It is a vaginal approach procedure.20$250$3.8K
    52287The provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystoscope. He then inserts a needle and injects a neurolytic drug into the…30$130$3.2K
    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…40$60$2.7K
    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…50$50$2.5K
    99204The provider sees a new 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 provider…30$80$2.1K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…20$20$410

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    5742541010$770$13.9K
    9921410,83415,47080$80$11.4K
    52287153020$250$9.8K
    5728822010$470$8K
    992138,54014,81060$60$6.6K
    5712021020$350$6.4K
    5725011010$310$4.7K
    992043,2356,28030$110$4.2K
    992122,0342,75030$40$2K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bronson Methodist HospitalMIGeneral Acute Care Hospital$0$109.1M
    Bronson Methodist HospitalMIHospitalist Physician$0$64.8M
    Lakeland Medical PracticesMIInternal Medicine Physician$0$20.9M
    Bronson Lakeview HospitalMICritical Access Hospital$0$15.6M
    Goshen Health System IncINFamily Medicine Physician$0$12M
    Bronson Battle Creek HospitalMIInternal Medicine Physician$0$9.8M
    Bronson Lakeview HospitalMIRural Health Clinic/Center$0$6.6M
    Mujahed AbbasMICritical Care Medicine (Internal Medicine) Physician$649.8K$0
    Nilay GandhiVAUrology Physician$570.1K$0
    Wassim BazziMIUrology Physician$370.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Western Michigan University School Of MedicineMIMulti-Specialty Clinic/Center$0$16.4M
    Braintrust Behavioral Health, LLCMICommunity/Behavioral Health Agency$0$13.8M
    Western Michigan University Center For Disability ServicesMIDevelopmentally Disabled Services Day Training Agency$0$10.4M
    Care N Assist LLCMIIn Home Supportive Care Agency$0$6.1M
    Kalamazoo Anesthesiology P CMIAnesthesiology Physician$0$5.3M
    Daniel ZindrickMIEmergency Medicine Physician$43.8K$400.8K
    Michael ChaftyMIPain Medicine (Anesthesiology) Physician$83.2K$11K
    Timothy RyanMIStudent in an Organized Health Care Education/Training Program$60.4K$0
    Benjamin CramerMIEmergency Medicine Physician$51.8K$0
    James RosenbaumMIAnesthesiology Physician$19.1K$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. Michigan Distribution
    Melinda Abernethy — 1 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan