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NPI 1649529470 · Glasgow, KY · Family Nurse Practitioner
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Alysia Wheeler is a family nurse practitioner provider located in Glasgow, Kentucky. This profile covers 11 Medicare and 21 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Alysia Wheeler |
| Address | 736 E Main St Ste A |
| City | Glasgow |
| State | KY |
| ZIP | 42141 |
| Taxonomy | Family Nurse Practitioner |
| NPI Enumerated | September 7, 2012 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $493.6K |
| Medicare | $28.7K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
11 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The 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… | 180 | $50 | $9.7K |
| 99213 | The 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… | 230 | $40 | $8.9K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 50 | $100 | $5.2K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 50 | $30 | $1.5K |
| 99497 | The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30… | 30 | $40 | $1K |
| 96372 | A 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… | 110 | $10 | $840 |
| 99204 | The 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… | 10 | $70 | $840 |
| 99407 | The provider counsels the patient on how to stop tobacco use. The counseling lasts more than 10 minutes. | 20 | $20 | $500 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 50 | $1 | $50 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 70 | $0 | $0 |
Showing 1–10 of 11
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
11 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 2,411 | 7,230 | 110 | $70 | $14.1K |
| G0439 | 858 | 1,570 | 60 | $110 | $9.3K |
| 99213 | 1,319 | 7,250 | 80 | $50 | $7.7K |
| 99497 | 219 | 330 | 40 | $60 | $4.9K |
| 99204 | 2,961 | 3,200 | 30 | $100 | $4.8K |
| 99212 | 428 | 1,520 | 30 | $30 | $1.9K |
| 99407 | 9 | 10 | 30 | $20 | $840 |
| 96372 | 250 | 1,240 | 50 | $10 | $670 |
| J3420 | 151 | 240 | 60 | $1 | $70 |
| J0696 | 153 | 250 | 90 | $1 | $60 |
Showing 1–10 of 11
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
21 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The 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… | 10,020 | $30 | $280.4K |
| 99214 | The 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… | 4,380 | $40 | $166.3K |
| 96372 | A 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… | 1,230 | $10 | $16K |
| 99407 | The provider counsels the patient on how to stop tobacco use. The counseling lasts more than 10 minutes. | 990 | $10 | $12.8K |
| 95943 | N/A | 70 | $110 | $7.9K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 230 | $20 | $3.7K |
| 95923 | In this procedure, the provider tests the sudomotor function of the autonomic nervous system to check functioning of nerves that supply sweat glands. The autonomic nervous system is that part of the… | 70 | $50 | $3.4K |
| 93922 | Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral | 70 | $30 | $1.9K |
| 99204 | The 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… | 30 | $70 | $1.7K |
| 99203 | The 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… | 10 | $60 | $830 |
Showing 1–10 of 21
How this provider's Medicaid billing volume and revenue compare to other Kentucky providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Kentucky median
21 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99213 | The 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… | 549 | 3,340 | 1,020 | $30 | $296K |
| 99214 | The 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… | 453 | 2,460 | 580 | $40 | $245K |
| 99204 | The 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… | 826 | 1,020 | 120 | $70 | $62K |
| 96372 | A 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… | 291 | 870 | 480 | $20 | $61.8K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 1,352 | 1,450 | 270 | $30 | $61K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 594 | 730 | 710 | $1 | $57.8K |
| 87804 | The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings. | 735 | 780 | 610 | $10 | $52K |
| 99203 | The 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… | 1,289 | 1,400 | 130 | $50 | $45.8K |
| 87880 | The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab. | 694 | 780 | 640 | $10 | $43.2K |
| 93922 | Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral | 31 | 60 | 70 | $50 | $21.7K |
Showing 1–10 of 21
Other providers in the same ZIP code as Alysia Wheeler, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| T J Samson Community Hospital | KY | General Acute Care Hospital | $0 | $95.7M |
| Golden Gate Bridges | KY | Community/Behavioral Health Agency | $0 | $17.6M |
| T J Samson Community Hospital | KY | Family Medicine Physician | $0 | $15.5M |
| Oaks Behavioral Health PLLC | KY | Psychiatric/Mental Health Nurse Practitioner | $0 | $14.9M |
| Alliance Counseling Associates | KY | Mental Health Counselor | $0 | $12M |
| Ambulance Service Corporation Inc | KY | Ambulance | $1.2M | $3.4M |
| Adult Day Health, Inc. | KY | Adult Day Care Clinic/Center | $0 | $3.4M |
| Martha Seeley, LLC | KY | Family Medicine Physician | $0 | $2.9M |
| Mcpeak Surgery Center LLC | KY | Ambulatory Surgical Clinic/Center | $632.4K | $1.6M |
| Ely Drugs Inc | KY | Community/Retail Pharmacy | $74.8K | $729.2K |
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