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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSpencer Coleman
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    Spencer Coleman — Billing Profile & Reimbursement Data

    NPI 1629011770 · Wetumpka, AL · Family Medicine Physician

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    Spencer Coleman is a family medicine physician provider located in Wetumpka, Alabama. This profile covers 24 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
    OrganizationSpencer Coleman
    Address73970 Tallassee Highway
    CityWetumpka
    StateAL
    ZIP36092
    TaxonomyFamily Medicine Physician
    NPI EnumeratedJune 14, 2006

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

    Payer SourceTotal Paid
    Medicare$127.8K
    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.

    24 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…760$80$59.5K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…330$50$16.2K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit70$120$8K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…110$70$7.7K
    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…70$100$7.4K
    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…620$10$4.9K
    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…60$80$4.6K
    99304The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves straightforward or low medical decision making or the provider…70$60$3.9K
    G0008Administration of influenza virus vaccine100$30$2.9K
    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…150$20$2.5K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99309259350150$70$22.7K
    992143487,330120$80$16.8K
    99308111350170$50$15.4K
    G04397631,52070$120$11K
    993105114050$100$8.9K
    992135,2216,47080$50$7.9K
    364152431,550100$10$4.8K
    9930483040$60$3.5K
    906628897030$70$3.3K
    830363331,08070$10$3.2K

    Showing 1–10 of 24

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ivy Creek Of Elmore LLCALRural Health Clinic/Center$0$8M
    Ivy Creek Of Elmore, LLCALRural Health Clinic/Center$0$1.2M
    Ivy Creek Of Elmore, LLCALGeneral Acute Care Hospital$0$1.1M
    Jonathan MarshallNYDiagnostic Radiology Physician$761.9K$4.4K
    Louba LaurieILDiagnostic Radiology Physician$184.7K$453.6K
    Andrew HutchensTNDiagnostic Radiology Physician$424.1K$0
    Vineet SharmaTNDiagnostic Radiology Physician$286.1K$63.3K
    Sreechandra DonepudiAZDiagnostic Radiology Physician$273.4K$52.6K
    Satyam VeeanTXVascular & Interventional Radiology Physician$281.1K$0
    Lowell EllerbrookTXDiagnostic Radiology Physician$257.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Haynes Ambulance Of Elmore County, L.L.C.ALLand Ambulance$730.3K$2.2M
    Haynes Life Flight LLCALAir Ambulance$745.6K$1.1M
    Elmore County Health Dept Fp ClinicALPublic Health or Welfare Agency$0$1.1M
    Joseph VinsonALPhysical Therapist$94.5K$0
    Jason WeaverALPhysical Therapist$78.5K$0
    Melissa MyerALPhysical Therapist$70.5K$0
    Tommy GarnettALPublic Medicine Podiatrist$38.7K$0
    Alexandra GrossALFamily Nurse Practitioner$35K$0
    James MracekALInternal Medicine Physician$27.6K$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. Alabama Distribution
    Spencer Coleman — 3 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama