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NPI 1548492952 · Harlan, KY · Adult Health Nurse Practitioner
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Shannon Rutherford is a adult health nurse practitioner provider located in Harlan, Kentucky. This profile covers 8 Medicare and 1 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Shannon Rutherford |
| Address | 132 Village Center Rd |
| City | Harlan |
| State | KY |
| ZIP | 40831 |
| Taxonomy | Adult Health Nurse Practitioner |
| NPI Enumerated | August 18, 2009 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $8.1K |
| Medicaid | $7.5K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 0241U | N/A | 40 | $140 | $4.9K |
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 80 | $10 | $770 |
| 80061 | The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood. | 60 | $10 | $720 |
| 83036 | Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).… | 50 | $10 | $450 |
| 85027 | The 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… | 70 | $10 | $420 |
| 82043 | The lab analyst quantitates a timed or random urine specimen for the measurement of albumin. Random means the specimen collection may occur without respect to the time of day. This is a valuable… | 50 | $10 | $320 |
| 84443 | The 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… | 20 | $20 | $260 |
| 82607 | The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood. | 20 | $20 | $240 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.
View: State1 / 2
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99202 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider… | 190 | $40 | $7.4K |
How this provider's Medicaid billing volume and revenue compare to other Kentucky providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Kentucky median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99202 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider… | 196 | 590 | 80 | $40 | $13K |
Other providers in the same ZIP code as Shannon Rutherford, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Appalachian Regional Healthcare, Inc. | KY | General Acute Care Hospital | $0 | $55.1M |
| Appalachian Regional Healthcare, Inc | KY | Rural Health Clinic/Center | $0 | $8M |
| H & A Counseling, Psc | KY | Mental Health Counselor | $0 | $5.8M |
| Horizon Adult Health Care LLC | KY | Occupational Therapist | $0 | $3.8M |
| Air Evac Ems Inc. | KY | Air Ambulance | $550.9K | $2.2M |
| Abdulkader Dahhan | KY | Internal Medicine Physician | $200.5K | $2.4M |
| Mercy Ambulance Of Evansville Inc | KY | Ambulance | $567.9K | $819.9K |
| Gregory Dye | KY | Family Medicine Physician | $72K | $0 |
| Opal Prevatt | KY | Internal Medicine Physician | $52.8K | $0 |
| Syed Raza | KY | Psychiatry Physician | $49.5K | $0 |
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