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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMary Broughton
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    Mary Broughton — Billing Profile & Reimbursement Data

    NPI 1487844734 · Crystal, MN · Medical Physician Assistant

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    Mary Broughton is a medical physician assistant provider located in Crystal, Minnesota. This profile covers 30 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
    OrganizationMary Broughton
    Address5109 36th Ave N
    CityCrystal
    StateMN
    ZIP55422
    TaxonomyMedical Physician Assistant
    NPI EnumeratedAugust 1, 2007

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

    Payer SourceTotal Paid
    Medicare$54.8K
    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.

    30 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…280$70$20.7K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…80$100$8.1K
    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…120$50$6.3K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit30$110$3.1K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.350$10$2.8K
    80048The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…230$10$1.8K
    85027The lab analyst performs a blood count on the red and white blood cells and platelets also known as thrombocytes. He also determines the hemoglobin, typically by spectrophotometry, and the…230$10$1.4K
    90694This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…20$80$1.4K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…70$20$1.1K
    80076The lab analyst performs a hepatic function panel test in which he measures the blood levels of total protein, albumin, alkaline phosphatase, bilirubin, both total and direct, and liver enzymes.120$10$920

    Showing 1–10 of 30

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 30 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    30 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921464210,10070$80$8.1K
    G04391,5222,29040$120$6.9K
    992156834,06030$120$5.9K
    906949491,36030$70$4.3K
    992131,6099,12050$50$4K
    8446651020$10$3.7K
    876355611020$50$2.5K
    G00081,4382,30030$30$2.2K
    710468381,21080$10$1.6K
    364152403,48080$10$1.5K

    Showing 1–10 of 30

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    North Clinic, PAMNFamily Medicine Physician$0$4.5M
    Asim KhanMNRheumatology Physician$2.4M$0
    Moushumi MeherMNFamily Medicine Physician$174.9K$0
    Jerome MerkelMNFamily Medicine Physician$155.7K$0
    John SchaffhausenMNFamily Medicine Physician$91.1K$0
    David SmileyMNInternal Medicine Physician$86.2K$0
    Kurt PartollMNInternal Medicine Physician$83.6K$0
    Heather LabereMNFamily Medicine Physician$81.2K$0
    Darrell KriegerMNInternal Medicine Physician$63K$0
    Mancel MitchellMNFamily Medicine Physician$53.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    North Memorial Health CareMNGeneral Acute Care Hospital$0$32.5M
    Restart, IncMNAdult Care Home Facility$0$13.9M
    Twin Cities Physicians Professional CorporationMNMulti-Specialty Clinic/Center$0$11.4M
    Dose Health LLCMNEmergency Response System Companies$0$10.6M
    Bio-medical Applications Of Minnesota, Inc.MNEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$7.2M
    Cld - Robbinsdale Mn, LLCMNDental Clinic/Center$0$6.8M
    Driving Miss Daisy, Inc.MNNon-emergency Medical Transport (VAN)$0$5.7M
    North Memorial Health CareMNHospitalist Physician$0$5.6M
    Minneapolis Clinic Of Neurology, LtdMNNeurology Physician$0$5M
    Clemencia RasquinhaMNGeriatric Medicine (Family Medicine) Physician$2.5M$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. Minnesota Distribution
    Mary Broughton — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Minnesota