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    OpenPayerNPI Medicare & MedicaidBrenda Bailey
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    Brenda Bailey — Billing Profile & Reimbursement Data

    NPI 1619239126 · Memphis, TN · Adult Health Nurse Practitioner

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    Brenda Bailey is a adult health nurse practitioner provider located in Memphis, Tennessee. This profile covers 9 Medicare and 9 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)

    FieldValue
    Entity TypeIndividual
    OrganizationBrenda Bailey
    Address1068 Cresthaven Rd Ste 110
    CityMemphis
    StateTN
    ZIP38119
    TaxonomyAdult Health Nurse Practitioner
    NPI EnumeratedJune 11, 2012

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

    Payer SourceTotal Paid
    Medicare$79.3K
    Medicaid$1.2K

    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
    99350The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…160$110$18.4K
    11730The provider removes part or all of a single nail plate using simple avulsion techniques.220$70$15.7K
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.410$30$11K
    99345The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends at least 75…70$130$8.3K
    99306The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…70$110$8.1K
    11732The provider removes part or all of an additional nail plate after the first using simple avulsion techniques.280$20$5.9K
    99310The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…60$100$5.7K
    99349The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…60$80$4.5K
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…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 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99309596660270$70$29.8K
    993504016050$110$18.8K
    9934921134080$80$16.2K
    9931014127060$100$11.6K
    993067118050$130$10.6K
    1172156210240$30$9.4K
    9934596030$120$4.2K
    1173026020$70$3K
    1173211040$20$1.7K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…90$10$1.2K
    1036FN/A40$0$0
    4040FPneumococcal vaccine triggers the immune response of the patient and protects against infection from pneumococcus bacteria, an infectious organism. The provider administers the vaccine to all…50$0$0
    80305The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…80$0$0
    G8417Bmi is documented above normal parameters and a follow-up plan is documented30$0$0
    G8427Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications70$0$0
    G8431Screening for depression is documented as being positive and a follow-up plan is documented50$0$0
    G8482Influenza immunization administered or previously received40$0$0
    G8730Pain assessment documented as positive using a standardized tool and a follow-up plan is documented60$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Tennessee providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Tennessee median

    9 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…2,9453,760610$40$202.3K
    80305The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…328460360$1$8.8K
    G8427Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications278370390$1$10
    1036FN/A205250280$1$1
    G8431Screening for depression is documented as being positive and a follow-up plan is documented214050$1$1
    4040FPneumococcal vaccine triggers the immune response of the patient and protects against infection from pneumococcus bacteria, an infectious organism. The provider administers the vaccine to all…2940160$0$0
    G8417Bmi is documented above normal parameters and a follow-up plan is documented137160320$0$0
    G8482Influenza immunization administered or previously received6610090$0$0
    G8730Pain assessment documented as positive using a standardized tool and a follow-up plan is documented3650220$0$0

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Linda ChenFLInternal Medicine Physician$555.9K$0
    Jeffrey HallTNPain Medicine (Anesthesiology) Physician$216.5K$0
    Brandon BanksLAAnesthesiology Physician$181.5K$0
    Misty BurtonMSFamily Nurse Practitioner$146.3K$0
    Anthony JettTNRegistered Nurse$130.6K$0
    Rebecca JonesTNFamily Nurse Practitioner$117.1K$0
    Robin GrimmSCNurse Practitioner$115.5K$0
    Connie MoodySCFamily Nurse Practitioner$86.2K$0
    Lisa HayesSCFamily Nurse Practitioner$73.7K$0
    Melanie ManneyFLPrimary Care Nurse Practitioner$56.1K$0

    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. Tennessee Distribution
    Brenda Bailey — 2 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee
    Medicaid Revenue by Year vs. Tennessee Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Tennessee Distribution
    Brenda Bailey — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee