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    OpenPayerNPI Medicare & MedicaidMargaret Ballard
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    Margaret Ballard — Billing Profile & Reimbursement Data

    NPI 1659947661 · Lebanon, KY · Family Nurse Practitioner

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    Margaret Ballard is a family nurse practitioner provider located in Lebanon, Kentucky. 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMargaret Ballard
    Address325 W Walnut St Ste 600
    CityLebanon
    StateKY
    ZIP40033
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedJune 1, 2021

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

    Payer SourceTotal Paid
    Medicare$5.8K
    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.60$10$820
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.90$10$750
    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…30$30$730
    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…40$20$700
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.70$10$690
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…70$10$520
    94760The provider takes a single measurement of the patient’s oxygen saturation using a sensor on the ear or finger.210$1$430
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…50$10$420
    77080The provider performs an imaging procedure, called dual–energy X–ray absorptiometry (DXA), of one or more bony areas on the trunk to determine the bone mineral density (BMD) and whether the patient…10$30$300
    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…10$20$200

    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
    823069412070$30$8.5K
    84443133200100$20$6.8K
    80061143240120$10$5.8K
    80053153270110$10$5.5K
    85025211350100$10$3.4K
    8004811014060$10$2.4K
    93010876890120$10$1.9K
    7708023525050$20$1.9K
    364155221,040100$10$1.7K
    8303642588050$10$1.2K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vmd Primary Providers Central KentuckyKYInternal Medicine Physician$0$4.4M
    David ZetterKYGeneral Practice Physician$330.5K$112.4K
    Allen WesterfieldKYDiagnostic Radiology Physician$306.5K$0
    Darrell NewKYFamily Nurse Practitioner$44.7K$181.4K
    Richard BlalockKYInternal Medicine Physician$195.2K$0
    Jon KostelicKYDiagnostic Radiology Physician$191.7K$0
    Jason HarperKYDiagnostic Radiology Physician$186.6K$0
    Thomas AdamsKYFamily Medicine Physician$177.4K$0
    Dale AbsherKYDiagnostic Radiology Physician$175.8K$0
    Daniel ButlerKYFamily Medicine Physician$168.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mmhh, LLCKYAdult Day Care Clinic/Center$0$41.5M
    Spring View Hospital LLCKYRural Acute Care Hospital$0$23.4M
    HopeKYCommunity/Behavioral Health Agency$0$6.3M
    Marion County County TreasurerKYLand Ambulance$331.4K$447.5K
    Stefanie SpaldingKYNurse Practitioner$494.8K$0
    Air Evac Ems, Inc.KYAir Ambulance$262.7K$31.5K
    William KirkKYInternal Medicine Physician$185.1K$3.3K
    Jared MalanKYFoot & Ankle Surgery Podiatrist$77.2K$3K
    Sarah CoulterKYSkilled Nursing Facility$53.3K$0
    Kelly DeatleyKYFamily Medicine Physician$46K$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. Kentucky Distribution
    Margaret Ballard — 0 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky