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 & MedicaidCynthia Waggoner
    Ask Trek AI about this page

    Cynthia Waggoner — Billing Profile & Reimbursement Data

    NPI 1518625763 · Columbus, OH · Clinical Psychologist

    Customize your policy alerts

    Sign up for Cynthia Waggoner — 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.

    Cynthia Waggoner is a clinical psychologist provider located in Columbus, Ohio. This profile covers 5 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
    OrganizationCynthia Waggoner
    Address21 E State St
    CityColumbus
    StateOH
    ZIP43215
    TaxonomyClinical Psychologist
    NPI EnumeratedDecember 6, 2021

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

    Payer SourceTotal Paid
    Medicare$60.7K
    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.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    90832In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…620$50$33.5K
    90791In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.110$120$13.4K
    90785This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.690$10$7.5K
    90834In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…60$70$4.2K
    96116A physician or other qualified healthcare professional performs a face–to–face assessment of a patient’s thinking, reasoning, and judgment. Report this code for the first hour of face–to–face…30$70$2K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    5 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9083418031070$60$6.9K
    90832921060$50$6.5K
    907912043020$110$3.4K
    96116427040$60$3.2K
    90785310050$10$1K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Olaniyi OsuntokunINPsychiatry Physician$445.7K$0
    Stephanie MurphyINClinical Psychologist$201.1K$0
    Jessica SloneKYFamily Nurse Practitioner$171.1K$0
    Jacqueline NuvalOHClinical Psychologist$123K$0
    Marisa VictoryINClinical Psychologist$112.7K$0
    Christopher ConleyOHClinical Social Worker$107.3K$0
    Kyle SwartzINClinical Psychologist$100.9K$0
    Gina BrooksOHFamily Nurse Practitioner$64.6K$0
    Jennifer RiceKYPsychiatric/Mental Health Nurse Practitioner$55.7K$0
    Daniel HeiserTNClinical Psychologist$55.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ohiohealth CorporationOHGeneral Acute Care Hospital$0$215.2M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Southeast, IncOHMental Health Clinic/Center (Including Community Mental Health Center)$0$40.8M
    Mid-ohio Emergency Services, LLCOHEmergency Medicine Physician$0$38.5M
    Nationwide Children's HospitalOHHome Infusion Agency$0$22.4M
    Ohio Emergency Professionals IncOHEmergency Medicine Physician$0$21.5M
    Premier Care Of Ohio, LLCOHMethadone Clinic$0$18.2M
    Nationwide Children's Hospital HomecareOHHome Health Agency$0$17.5M
    Forward Health LLCOHSubstance Use Disorder Rehabilitation Clinic/Center$0$12.1M
    Nationwide Children's HospitalOHDental Clinic/Center$0$11.1M

    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. Ohio Distribution
    Cynthia Waggoner — 3 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio