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    v1.0.28
    OpenPayerNPI Medicare & MedicaidLaura Darnell
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    Laura Darnell — Billing Profile & Reimbursement Data

    NPI 1457654451 · Decatur, TX · Physician Assistant

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    Laura Darnell is a physician assistant provider located in Decatur, Texas. This profile covers 10 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
    OrganizationLaura Darnell
    Address609 Medical Center Dr Ste 1200
    CityDecatur
    StateTX
    ZIP76234
    TaxonomyPhysician Assistant
    NPI EnumeratedDecember 13, 2010

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

    Payer SourceTotal Paid
    Medicare$26K
    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99496The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…80$180$13.6K
    99305The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…40$90$3.7K
    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…60$50$2.9K
    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…40$70$2.5K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…20$40$980
    99487The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…10$90$950
    99307The 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…30$30$810
    98967A nonphysician qualified healthcare professional discusses, via telephone, a health issue and possible treatment or management with an established patient, parent, or guardian. This service includes…20$20$300
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.20$10$160
    98966A nonphysician qualified healthcare professional discusses, via telephone, a health issue and possible treatment or management with an established patient, parent, or guardian. This service includes…20$10$140

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    993091,5891,840240$70$35K
    9948725826050$100$28.8K
    993081,1781,600170$50$23.8K
    994901,4411,520180$40$16.2K
    9930735445080$30$7.4K
    9930527961040$100$6.9K
    994964695020$190$6.1K
    364155,5246,270100$10$4.5K
    9896761040$20$800
    98966131030$10$290

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Muhammad ChoudhryTXEndocrinology, Diabetes & Metabolism Physician$166.9K$0
    Naishadh BrahmbhattTXPulmonary Disease Physician$128.9K$0
    Evelyne EpieTXFamily Nurse Practitioner$110.3K$0
    Carlos MaciasTXThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$109.5K$0
    Phuong-khanh FarleyTXInterventional Cardiology Physician$108K$0
    Kelly LeeTXFamily Nurse Practitioner$106.8K$0
    H. HudgensTXThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$24.8K$0
    Heather BeardTXRegistered Dietitian$9.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Solaris Hospice IncTXCommunity Based Hospice Care Agency$0$19.2M
    Irfan HameedTXInterventional Cardiology Physician$954.2K$0
    Christine HollandTXFamily Medicine Physician$932.6K$0
    Brian RichTXInterventional Pain Medicine Physician$713.5K$0
    Muhammad NaeemTXNeurology Physician$500.1K$0
    Chris McgeeTXFamily Medicine Physician$499.9K$0
    John RibeiroTXOrthopaedic Surgery Physician$347.2K$0
    Muhammad AsimTXGastroenterology Physician$344.5K$0
    Meria AuldsTXInternal Medicine Physician$326.8K$0
    George GillTXSports Medicine (Orthopaedic Surgery) Physician$245K$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. Texas Distribution
    Laura Darnell — 1 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas