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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSharon Herndon
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    Sharon Herndon — Billing Profile & Reimbursement Data

    NPI 1558884064 · Missoula, MT · Nurse Practitioner

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    Sharon Herndon is a nurse practitioner provider located in Missoula, Montana. This profile covers 12 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
    OrganizationSharon Herndon
    Address2230 N Reserve St Ste 402
    CityMissoula
    StateMT
    ZIP59808
    TaxonomyNurse Practitioner
    NPI EnumeratedJuly 18, 2017

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

    Payer SourceTotal Paid
    Medicare$41.2K
    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…370$50$18K
    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…90$60$5.9K
    87635Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…110$50$5.5K
    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…70$70$4.8K
    87502The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…30$90$2.6K
    87651The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.40$30$1.4K
    99202The 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…30$40$1.1K
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…40$10$500
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…20$30$500
    69209The provider flushes or washes (irrigation/lavage) out the entrapped wax (cerumen) from a patient’s external ear canal with a stream of water to correct hearing loss or discomfort.30$10$340

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141,1331,810100$70$12.4K
    992131321,73090$50$7.2K
    992038270030$70$3.1K
    9921244654030$30$1.8K
    8750252020$90$1.8K
    8763516020$50$1.6K
    992025012020$40$1.4K
    710467917040$10$1.1K
    8765111020$30$600
    6920924020$10$190

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rchp Billings - Missoula LLCMTSpecialist$0$13.1M
    Rchp Billings - Missoula LLCMTGeneral Acute Care Hospital$0$4M
    Todd MurdockMTOphthalmology Physician$103.7K$1M
    Joseph ShurtzMTPhysical Medicine & Rehabilitation Physician$208.4K$89.9K
    Shahid ChaudharyMTNephrology Physician$268.2K$0
    Alan ThomasMTHematology & Oncology Physician$161.1K$0
    Michelle ProperMTRadiation Oncology Physician$150.7K$0
    Matthew WeissMTCardiovascular Disease Physician$150K$0
    Brian RahMTInterventional Cardiology Physician$144.4K$0
    Sasidhar GuthikondaPRInterventional Cardiology Physician$132.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Consumer Direct Care Network VirginiaMTHome Health Agency$0$2.1B
    Consumer Direct Personal Care, LLCMTIn Home Supportive Care Agency$0$49.1M
    Hkj IncMTMental Health Clinic/Center (Including Community Mental Health Center)$0$15.2M
    We Care Behavioral Health LLCMTClinic/Center$0$14.8M
    Partners In Home Care, IncMTNursing Care Agency$0$13M
    Hkj IncMTCase Management Agency$0$11.6M
    Sunburst Health LLCMTMental Health Clinic/Center (Including Community Mental Health Center)$0$6.1M
    Providence Health & Services MtMTFamily Medicine Physician$0$4.9M
    Welltower Tenant Group LLCMTAssisted Living Facility$0$3.8M
    Norco, IncMTDurable Medical Equipment & Medical Supplies$0$3.8M

    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. Montana Distribution
    Sharon Herndon — 3 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Montana