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    OpenPayerNPI Medicare & MedicaidCrystal Buchanan
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    Crystal Buchanan — Billing Profile & Reimbursement Data

    NPI 1609330273 · Sebree, KY · Family Nurse Practitioner

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    Crystal Buchanan is a family nurse practitioner provider located in Sebree, Kentucky. This profile covers 9 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
    OrganizationCrystal Buchanan
    Address47 W Webster Street
    CitySebree
    StateKY
    ZIP42455
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedJanuary 28, 2019

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

    Payer SourceTotal Paid
    Medicare$18.4K
    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit50$100$4.9K
    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…80$60$4.8K
    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…100$40$4.5K
    87637The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…30$140$3.5K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…50$10$350
    83036Sugar 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).…20$10$230
    J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg100$1$100
    81003The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…40$1$70
    J1100Injection, dexamethasone sodium phosphate, 1 mg120$0$0

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992144,2227,230110$70$14.1K
    G04399051,57060$110$9.3K
    992133,0807,25080$50$7.7K
    8763792020$140$4.7K
    8303667588050$10$1.2K
    963725691,24050$10$670
    J3301539780200$1$410
    810034291,24030$1$150
    J1100328480180$1$40

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Methodist Health, Inc.KYGeneral Acute Care Hospital$0$51M
    Deaconess Clinic, IncINPediatrics Physician$0$6.6M
    Deaconess Clinic, IncINFamily Medicine Physician$0$3.1M
    Deaconess Clinc IncINInternal Medicine Physician$0$2.7M
    Jason FoggKYPain Medicine (Physical Medicine & Rehabilitation) Physician$1.2M$0
    Jon DavisINDermatology Physician$758.4K$0
    David SurprenantINMOHS-Micrographic Surgery Physician$583.9K$0
    Ravi KamepalliGAInfectious Disease Physician$322.9K$1.4K
    Narothama Reddy AeddulaINNephrology Physician$288.6K$3.8K
    Nripesh PradhanINNephrology Physician$265.7K$7.4K

    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. Kentucky Distribution
    Crystal Buchanan — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky