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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRandall Nichols
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    Randall Nichols — Billing Profile & Reimbursement Data

    NPI 1518055334 · Dothan, AL · Surgery Physician

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    Randall Nichols is a surgery physician provider located in Dothan, Alabama. This profile covers 11 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.

    (source: NPPES NPI Registry)

    Table of contents

    Progress1 / 7

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    Provider details
    FieldValue
    Entity TypeIndividual
    OrganizationRandall Nichols
    Address2431 W Main St
    CityDothan
    StateAL
    ZIP36301
    TaxonomySurgery Physician
    NPI EnumeratedOctober 10, 2006

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

    Payer SourceTotal Paid
    Medicare$106.1K
    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    35301The provider removes thrombus and plaques from a carotid, vertebral, or subclavian artery through a neck incision.30$800$23.9K
    99203The provider sees a new 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 provider…290$70$21.3K
    34705The provider places an aorto–bi–iliac endograft (a Y–shaped tube graft that extends from inside the aorta down both iliac arteries) to repair the infrarenal aorta or iliac artery for reasons other…20$1,060$19.1K
    47562The provider removes the gallbladder through a laparoscope, a tubular instrument with a light source and camera inserted through the abdominal wall, to treat gallbladder disease.30$470$11.7K
    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…150$60$8.8K
    19302The provider removes a lesion, including surrounding margins, or a significant portion (a segment or quadrant) of the breast and removes axillary lymph nodes.10$670$7.3K
    49505The provider repairs an initial inguinal hernia on a child, five years of age or older. She pushes the hernia back to reduce it.20$380$6.1K
    34812While performing a primary procedure, the provider makes an incision in the groin down to the femoral artery in order to insert an endovascular prosthesis, a tubelike device placed within a vessel.…20$210$4.1K
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…60$40$2K
    38900The provider injects a nonradioactive dye into the tissues surrounding the lymph nodes. The provider examines the lymph nodes during the procedure to detect the presence of disease and identify the…10$100$1.4K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    3470511020$1,060$19.1K
    3530112020$670$12K
    4950531020$660$9.9K
    992131,8246,47080$50$7.9K
    1930211010$670$7.3K
    4756235020$450$7.2K
    9923125464040$40$4.1K
    3481211020$210$4.1K
    99203112,21030$70$3.1K
    38900142020$110$2K

    Showing 1–10 of 11

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Houston County Healthcare AuthorityALInternal Medicine Physician$0$9.6M
    State Of Alabama Department Of Public HealthALHome Health Agency$0$6.9M
    Wiregrass Hospice, LLCALCommunity Based Hospice Care Agency$0$5.8M
    Dothan Ambulance ServiceALLand Ambulance$1.7M$3.9M
    Southeast Alabama Maternity Care ProgramALExclusive Provider Organization$0$5.1M
    Houston County Healthcare AuthorityALGeneral Acute Care Hospital$0$4.9M
    Houston County Health Dept Fp ClinicALPublic Health or Welfare Agency$0$4.4M
    Southern Alabama Surgery Center LLCALAmbulatory Surgical Clinic/Center$3.8M$94.3K
    Edmund LacourALRheumatology Physician$3.7M$0
    Houston County Healthcare AuthorityALClinical Medical Laboratory$591.7K$2.1M

    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. Alabama Distribution
    Randall Nichols — 2 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama