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    v1.0.28
    OpenPayerNPI Medicare & MedicaidNathan Hill
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    Nathan Hill — Billing Profile & Reimbursement Data

    NPI 1619292109 · Hickory, NC · Physician Assistant

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    Nathan Hill is a physician assistant provider located in Hickory, North Carolina. This profile covers 13 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.

    (source: NPPES NPI Registry)

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    Progress1 / 7

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    Provider details
    FieldValue
    Entity TypeIndividual
    OrganizationNathan Hill
    Address2165 Medical Park Dr
    CityHickory
    StateNC
    ZIP28602
    TaxonomyPhysician Assistant
    NPI EnumeratedMarch 29, 2010

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

    Payer SourceTotal Paid
    Medicare$40.7K
    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.

    13 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…300$80$22.4K
    99204The provider sees a new 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 provider…60$90$5.6K
    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…90$60$4.7K
    72100The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays…140$20$3.2K
    72120In this diagnostic procedure, the provider performs a two or three view radiological study of the lumbosacral spine with the patient in a bending position. He performs this lumbosacral examination to…50$20$1.2K
    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…20$60$930
    72040The patient has a 2– or 3–view X–ray of the neck vertebrae.40$20$790
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…20$40$640
    73562In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.20$20$410
    72080In this diagnostic procedure, the provider performs a minimum of two X–ray views of the area where the thoracic spine meets the lumbar spine to examine the patient's thoracolumbar junction for…20$20$380

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992143,67918,060110$80$15.1K
    992136,95416,32070$50$7.1K
    206101,4691,62060$50$5.1K
    992041,8788,43030$110$4.8K
    992034,3795,45030$70$3.1K
    735628601,06040$20$1.5K
    735021,3621,39040$20$1.2K
    730301,2711,42040$20$940
    7212062020$20$860
    72100621,24030$20$840

    Showing 1–10 of 13

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bayada Home Health Care, Inc.NCHome Health Agency$0$40.4M
    Bayada Home Health Care, Inc.NCCommunity/Behavioral Health Agency$0$28.1M
    Christopher H. Brown, Bs Dent, Dds,paNCOral and Maxillofacial Surgery (Dentist)$0$21.8M
    Catawba Pediatric Associates, P.A.NCPediatrics Physician$0$20.2M
    Catawba Valley Medical CenterNCGeneral Acute Care Hospital$0$17.3M
    Pediatric Therapy NetworkNCPediatric Physical Therapist$0$12.2M
    Urgent Care Of Mountain View PLLCNCUrgent Care Clinic/Center$0$11.5M
    Childrens Neurotherapy ServicesNCPediatric Occupational Therapist$0$9.8M
    Creative Change CounselingNCMental Health Clinic/Center (Including Community Mental Health Center)$0$9.7M
    Rafael Rivera, Jr, Dds, PLLCNCDentist$0$8.8M

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. North Carolina Distribution
    Nathan Hill — 1 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina