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    v1.0.28
    OpenPayerNPI Medicare & MedicaidKathleen Knowlton
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    Kathleen Knowlton — Billing Profile & Reimbursement Data

    NPI 1629370309 · Lincoln, RI · Primary Care Nurse Practitioner

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    Kathleen Knowlton is a primary care nurse practitioner provider located in Lincoln, Rhode Island. This profile covers 4 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
    OrganizationKathleen Knowlton
    Address132 Old River Rd.
    CityLincoln
    StateRI
    ZIP02865
    TaxonomyPrimary Care Nurse Practitioner
    NPI EnumeratedDecember 1, 2010

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

    Payer SourceTotal Paid
    Medicare$71.9K
    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.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…660$70$47.1K
    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…250$50$12.2K
    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…90$100$8.8K
    99315The provider sees a patient for nursing facility discharge management requiring 30 minutes or less.70$60$3.8K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    4 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9930915120160$70$21.6K
    99310327080$110$11.9K
    993082811070$50$10.7K
    9931541030$60$2.7K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mohammad SuhailRIInternal Medicine Physician$126.3K$16M
    Ralph SantoroRIInternal Medicine Physician$66.2K$2.1M
    Paul AlexandrovRIInternal Medicine Physician$83.4K$142.6K
    Ibrahim ElgabryRICardiovascular Disease Physician$180.7K$35.4K
    Shahzad KhurshidFLHospice and Palliative Medicine (Internal Medicine) Physician$194.3K$7.7K
    Jessica DiroccoRIFamily Nurse Practitioner$77.9K$120.6K
    Syed NaqviRIInternal Medicine Physician$60.4K$113.9K
    Elisabeth ButlerRIGerontology Nurse Practitioner$121.1K$6.7K
    Alexandra ConradCOMedical Physician Assistant$125.1K$0
    Jane FreitasRINurse Practitioner$95.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Seven Hills Rhode Island IncRIDevelopmentally Disabled Services Day Training Agency$0$84.1M
    Fellowship Health Resources, IncRIMental Health Clinic/Center (Including Community Mental Health Center)$0$49.1M
    Seven Hills Rhode Island IncRIMulti-Specialty Clinic/Center$0$31M
    Seven Hills Rhode Island IncRIIn Home Supportive Care Agency$0$22M
    Seven Hills Rhode Island IncRIMulti-Specialty Clinic/Center$0$9.8M
    Caregivers Ri, LLCRIHome Health Agency$0$8.5M
    Epoch Sleep Centers, LLCRISleep Disorder Diagnostic Clinic/Center$88.3K$3.8M
    Anchor Medical AssociatesRIGeneral Practice Physician$0$2.9M
    Golden Roads Adult Day Center LLCRIAdult Day Care Clinic/Center$0$2.3M
    Town Of Lincoln Public SchoolsRILocal Education Agency (LEA)$0$2.1M

    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. Rhode Island Distribution
    Kathleen Knowlton — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island