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    Adam Blanton — Billing Profile & Reimbursement Data

    NPI 1508258856 · Williamson, WV · Physician Assistant

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    Adam Blanton is a physician assistant provider located in Williamson, West Virginia. This profile covers 2 Medicare and 4 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationAdam Blanton
    Address61 E 3rd Ave
    CityWilliamson
    StateWV
    ZIP25661
    TaxonomyPhysician Assistant
    NPI EnumeratedFebruary 24, 2015

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

    Payer SourceTotal Paid
    Medicaid$6K
    Medicare$4.4K

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    82075The lab analyst performs the technical lab test to analyze the quantitative amount of alcohol in a patient’s breath and correlates the measurement to blood alcohol content.110$30$3K
    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…30$50$1.4K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    2 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992132,3672,86080$50$7.5K
    82075710140$30$3.9K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.70$40$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$40$2.2K
    82075The lab analyst performs the technical lab test to analyze the quantitative amount of alcohol in a patient’s breath and correlates the measurement to blood alcohol content.50$20$990
    81025The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.30$10$130

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other West Virginia providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. West Virginia median

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.961102,080$50$537.1K
    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…1,1081,2701,240$30$245K
    82075The lab analyst performs the technical lab test to analyze the quantitative amount of alcohol in a patient’s breath and correlates the measurement to blood alcohol content.3140900$20$214.7K
    81025The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.179200360$20$33.8K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ohio Valley Physicians IncWVFamily Medicine Physician$0$43M
    Ohio Valley Physicians IncWVCommunity/Behavioral Health Agency$0$22.8M
    Highlands Hospital CorpKYCardiovascular Disease Physician$0$15.9M
    Ohio Valley Physicians IncOHSubstance Abuse Rehabilitation Facility$0$12.9M
    Ohio Valley Physicians IncWVRural Health Clinic/Center$0$4.2M
    Ohio Valley PhysiciansKYMental Health Clinic/Center (Including Community Mental Health Center)$0$3.4M
    Ohio Valley Physicians, IncWVRural Health Clinic/Center$0$3.1M
    Ohio Valley Physicians IncWVRural Health Clinic/Center$0$2.4M
    Jonathan HessOHFamily Medicine Physician$272.3K$0
    Robert HessWVFamily Medicine Physician$187K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Williamson Health & Wellness Center IncWVFederally Qualified Health Center (FQHC)$0$12.8M
    Lighthouse Community Investment Agency IncWVSubstance Use Disorder Rehabilitation Clinic/Center$0$9.8M
    Williamson Treatment Center, LLCWVMethadone Clinic$446.4K$8.9M
    Williamson Health & Wellness Center IncWVFederally Qualified Health Center (FQHC)$0$5.5M
    Aurora Project Associates LLCWVSubstance Abuse Rehabilitation Facility$0$5.1M
    Williamson Memorial Hospital LLCWVGeneral Acute Care Hospital$0$3.7M
    Coalfield Community Action PartnersWVPersonal Care Attendant$0$1.9M
    Williamson Treatment Center, LLCWVMethadone Clinic$0$1.6M
    Tug Valley Wellness Center, LLCWVFamily Medicine Physician$0$1.3M
    Coalfield Community Action PartnersWVHomemaker$0$1.3M

    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
    Adam Blanton — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia
    Medicaid Revenue by Year vs. West Virginia Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. West Virginia Distribution
    Adam Blanton — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia