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    v1.0.28
    OpenPayerNPI Medicare & MedicaidAmy Caldwell
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    Amy Caldwell — Billing Profile & Reimbursement Data

    NPI 1649612979 · Seneca, SC · Family Nurse Practitioner

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    Amy Caldwell is a family nurse practitioner provider located in Seneca, South Carolina. This profile covers 32 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
    OrganizationAmy Caldwell
    Address109 Carter Park Dr Ste 3a
    CitySeneca
    StateSC
    ZIP29678
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedJuly 29, 2013

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

    Payer SourceTotal Paid
    Medicare$31K
    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.

    32 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…100$50$5K
    G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit30$130$4K
    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…70$50$3K
    83880The lab analyst measures the amount of natriuretic peptide, a hormone made by heart muscle cells, in the patient specimen. Blood levels of the hormone increase in patients with congestive heart…80$40$2.9K
    82306The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…70$30$1.9K
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…10$110$1.5K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…70$20$1.2K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…10$80$1.1K
    82607The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood.60$20$960
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.70$10$940

    Showing 1–10 of 32

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 32 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    32 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    93306424450230$80$23.9K
    992144,8677,860160$80$23.2K
    992134,6487,690100$60$10.8K
    9388033636060$80$8.2K
    80061240370150$10$6.7K
    84443226340130$20$6.7K
    8230614528070$30$6.2K
    G04389845020$150$4K
    835251120170$10$3.8K
    83880105020$40$3.4K

    Showing 1–10 of 32

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Minuteclinic Diagnostic South Carolina LLCSCFamily Nurse Practitioner$0$3.8M
    Keowee Primary Care & Internal Medicine PCSCInternal Medicine Physician$0$2M
    Tauqueer AlamSCInternal Medicine Physician$652.5K$26K
    Sydney JohnsonSCPhysician Assistant$187K$0
    Stephanie HightowerSCFamily Nurse Practitioner$109.1K$0
    Tonya SkipperSCFamily Nurse Practitioner$38.9K$0
    Brittany MaffettSCFamily Nurse Practitioner$37.5K$0
    Jenna BishopSCFamily Nurse Practitioner$17.9K$0
    Nalini AnumulaSCFamily Nurse Practitioner$17K$0
    Rachel LangenfeldSCPhysician Assistant$13.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Issaqueena Pediatric Dentistry P.A.SCPediatric Dentistry$0$15.3M
    Oconee PediatricsSCRural Health Clinic/Center$0$8.5M
    Blue Ridge Pediatrics LLCSCRural Health Clinic/Center$0$5.6M
    Crossroads Treatment Center Of Seneca, PCSCSubstance Use Disorder Rehabilitation Clinic/Center$0$1.9M
    Childrens Therapy Center, Inc.SCPediatric Occupational Therapist$0$1.6M
    The Blue Ridge Clemson Orthopaedic Asc LLCSCAmbulatory Surgical Clinic/Center$553.6K$0
    Jared RichardsonSCFamily Medicine Physician$489.3K$0
    Osman HicklinSCDiagnostic Radiology Physician$381.3K$0
    Scott MassiosSCOphthalmology Physician$369.2K$0
    James HardySCDiagnostic Radiology Physician$329.2K$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. South Carolina Distribution
    Amy Caldwell — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina