Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidSheena Hoadley
    Ask Trek AI about this page

    Sheena Hoadley — Billing Profile & Reimbursement Data

    NPI 1467042507 · Springfield, IL · Family Nurse Practitioner

    Customize your policy alerts

    Sign up for Sheena Hoadley — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Sheena Hoadley is a family nurse practitioner provider located in Springfield, Illinois. This profile covers 4 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationSheena Hoadley
    Address751 N Rutledge St Ste 3100
    CitySpringfield
    StateIL
    ZIP62702
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedJanuary 22, 2021

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

    Payer SourceTotal Paid
    Medicare$21.1K
    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.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…210$50$10.6K
    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…60$70$4.7K
    95983The provider, a physician or other qualified healthcare professional, analyzes the function of a brain neurostimulator system and makes programming adjustments requiring up to 15 minutes of…110$30$3.3K
    95984The provider, a physician or other qualified healthcare professional, continues to analyze the function of a brain neurostimulator system and make programming adjustments face–to–face with the…90$30$2.4K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    4 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921412,14218,540110$80$17.1K
    992133,49817,39070$60$8.8K
    9598441060$30$3.2K
    9598322050$40$2.2K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mhd Yahia ZeinoILObstetrics & Gynecology Physician$9.2K$1.3M
    Obiora OnwuamezeILPsychiatry Physician$76.6K$775.8K
    Jordan BruceILInternal Medicine Physician$173.1K$381.4K
    Mohamed LabediILCardiovascular Disease Physician$115K$417.9K
    Julia ReidTNDermatology Physician$318.9K$0
    Dana CrosbyILOtolaryngology Physician$44.4K$231.8K
    Rebecca LarsonILMOHS-Micrographic Surgery Physician$250.7K$12K
    Aziz KhanILHematology & Oncology Physician$71.9K$189.2K
    Aman AliPAGastroenterology Physician$248.1K$0
    Yen-yi PengNVNeurology Physician$241.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mental Health Centers Of Central IllinoisILMental Health Clinic/Center (Including Community Mental Health Center)$0$38.4M
    Board Of Trustees Of Southern Illinois UniversityILFederally Qualified Health Center (FQHC)$0$25.7M
    Zhenqiang GaoILAnatomic Pathology & Clinical Pathology Physician$67.5K$19.5M
    Advanced Medical Transport Of Springfield IncILAmbulance$879.6K$8.4M
    Memorial Home Services Of Central Illinois, IncILDurable Medical Equipment & Medical Supplies$0$8.9M
    Lifestar Ambulance Service, Inc.ILAmbulance$249.2K$5.6M
    Board Of Trustees Of Southern Illinois UniversityILFederally Qualified Health Center (FQHC)$0$4.5M
    Timothy GillisonILHematology & Oncology Physician$1.7M$54.1K
    Scott MinkILHematology & Oncology Physician$1.6M$60.3K
    Amit GuptaILHematology & Oncology Physician$1.5M$9.4K

    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. Illinois Distribution
    Sheena Hoadley — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois