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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMiranda Albaugh
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    Miranda Albaugh — Billing Profile & Reimbursement Data

    NPI 1447484803 · Martinsburg, WV · Family Medicine Physician

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    Miranda Albaugh is a family medicine physician provider located in Martinsburg, West Virginia. This profile covers 7 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
    OrganizationMiranda Albaugh
    Address1355 Edwin Miller Blvd Ste A
    CityMartinsburg
    StateWV
    ZIP25404
    TaxonomyFamily Medicine Physician
    NPI EnumeratedMay 13, 2009

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

    Payer SourceTotal Paid
    Medicare$125.5K
    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…620$80$47.4K
    99306The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…280$130$37.5K
    99497The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…440$60$24.7K
    99316The provider sees a patient for nursing facility discharge management requiring more than 30 minutes.80$100$7.8K
    99310The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…60$120$6.3K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit10$120$1.7K
    99406The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.20$10$220

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9930929160160$70$26.3K
    99310305080$100$12.8K
    9930626050$130$10.3K
    G043951456060$120$9.3K
    99497111040$60$5K
    9931643030$90$4.7K
    99406123020$10$320

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Alignmed Partners, PCALGeriatric Medicine (Internal Medicine) Physician$0$16.8M
    Sanjay BhartiWVInternal Medicine Physician$934.5K$5.9K
    Geps Physician Group Of West Virginia PCWVGeriatric Medicine (Internal Medicine) Physician$0$923.7K
    James ToothmanWVInternal Medicine Physician$528.3K$19.8K
    Said SanaWVFamily Medicine Physician$424.4K$0
    Zaveen KureishyWVInternal Medicine Physician$295.1K$0
    Cynthia PinsonWVFamily Medicine Physician$206.4K$0
    Saad ZafarWVInternal Medicine Physician$198.5K$0
    Jeffrey HolmesWVInternal Medicine Physician$176.8K$0
    Anthony SaweikisWVFamily Medicine Physician$146.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Martinsburg Institute IncWVMethadone Clinic$155.3K$11.4M
    Stonebrook Community Services LLCWVDevelopmentally Disabled Services Day Training Agency$0$11.1M
    Board Of Child Care, WvWVEmotionally Disturbed Childrens' Residential Treatment Facility$0$5.3M
    Shenandoah Valley Medical System, Inc.WVFederally Qualified Health Center (FQHC)$0$5M
    Berkeley Co Comm On AgingWVHomemaker$0$2.1M
    Benjamin KreppsWVPain Medicine (Anesthesiology) Physician$174K$0
    Carrie ChaseWVFamily Nurse Practitioner$162.7K$0
    Joseph JurandWVPsychiatry Physician$128.8K$0
    West Virginia Cvs Pharmacy LLCWVPharmacy$100.8K$0
    Johny AlencherryWVInternal Medicine Physician$77.3K$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. West Virginia Distribution
    Miranda Albaugh — 2 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia