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    OpenPayerNPI Medicare & MedicaidNicole Howell
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    Nicole Howell — Billing Profile & Reimbursement Data

    NPI 1679778815 · Urbana, IL · Anatomic Pathology & Clinical Pathology Physician

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    Nicole Howell is a anatomic pathology & clinical pathology physician provider located in Urbana, Illinois. This profile covers 30 Medicare and 14 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)

    FieldValue
    Entity TypeIndividual
    OrganizationNicole Howell
    Address611 W. Park St.
    CityUrbana
    StateIL
    ZIP61801
    TaxonomyAnatomic Pathology & Clinical Pathology Physician
    NPI EnumeratedJune 18, 2007

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

    Payer SourceTotal Paid
    Medicaid$335.6K
    Medicare$135.3K

    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.

    30 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.4,510$10$36.1K
    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.2,300$10$23K
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…820$30$22.1K
    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…2,520$10$20.1K
    80048The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…1,140$10$9.1K
    88307The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…50$60$3.2K
    88341The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified…140$20$2.9K
    88342The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…100$30$2.7K
    83735The lab analyst performs a test to measure the amount of magnesium in a patient specimen.390$10$2.7K
    88173The lab analyst performs the technical lab test to analyze a cytopathology specimen from a fine needle aspirate and then interprets and reports the results.40$50$2.1K

    Showing 1–10 of 30

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 30 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    30 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    88305222580610$30$38.2K
    88341307450210$30$11.9K
    800532481090$10$9.4K
    88342265490120$40$9K
    850253085090$10$6.6K
    8830726539080$70$6.1K
    88189537070$70$5.8K
    8831220831040$50$5.7K
    80069395080$10$5.4K
    8811213923080$30$4.1K

    Showing 1–10 of 30

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…2,970$30$98K
    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.9,390$10$93.9K
    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…9,860$10$59.2K
    88307The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…820$60$51.5K
    80048The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…2,570$10$20.5K
    83735The lab analyst performs a test to measure the amount of magnesium in a patient specimen.820$10$4.9K
    85027The lab analyst performs a blood count on the red and white blood cells and platelets also known as thrombocytes. He also determines the hemoglobin, typically by spectrophotometry, and the…590$10$3.5K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.1,120$1$3.3K
    88342The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…210$10$2.5K
    88304The physician, typically a pathologist, performs a level III examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…110$20$2.1K

    Showing 1–10 of 14

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Illinois median

    14 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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.145740960$10$75.9K
    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…146830700$1$47.5K
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…55610820$40$46.6K
    80048The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…1363601,100$1$41.1K
    83735The lab analyst performs a test to measure the amount of magnesium in a patient specimen.1873101,690$1$40.3K
    88307The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…60290180$60$28.2K
    85027The lab analyst performs a blood count on the red and white blood cells and platelets also known as thrombocytes. He also determines the hemoglobin, typically by spectrophotometry, and the…2113401,190$1$23.8K
    83690The lab analyst measures the amount of lipase enzyme in the patient specimen. Lipase is an enzyme that the pancreas secretes to help in the absorption of fat.1862102,520$1$20.8K
    88141The physician analyzes and interprets a cervical or vaginal cytopathology specimen, using any reporting system, such as Bethesda or non–Bethesda. This code is for the professional interpretation by…6590100$10$12.2K
    88342The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…137300180$20$8.5K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hoopeston Community Memorial HospitalILRural Health Clinic/Center$0$21.2M
    Hoopeston Community Memorial HospitalILRural Health Clinic/Center$0$7.5M
    Richland Memorial Hospital, IncILRural Health Clinic/Center$0$4.9M
    Hoopeston Community Memorial HospitalILRural Health Clinic/Center$0$4.2M
    Sarah Bush Lincoln Health CenterILGeneral Acute Care Hospital$0$3.3M
    Luke XieILFamily Medicine Physician$41.9K$2.9M
    Kirby Medical CenterILRural Health Clinic/Center$0$2.8M
    Samir SayeghILOphthalmology Physician$1.6M$1M
    Dana AltenburgerILAnatomic Pathology & Clinical Pathology Physician$44.2K$2M
    Belmond Community HospitalIARural Health Clinic/Center$0$1.9M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Carle Foundation HospitalILGeneral Acute Care Hospital$0$8.3M
    Osf Healthcare SystemILLand Ambulance$0$5.2M
    Aashish GandhiILOphthalmology Physician$1.7M$54.1K
    Yujie ZhaoILHematology & Oncology Physician$1.1M$13.7K
    Sami SibaiILDiagnostic Radiology Physician$184.8K$846.8K
    Jeremy YouseILMOHS-Micrographic Surgery Physician$993.9K$15.1K
    Abdel-moneim AttiaILNephrology Physician$297.4K$582.1K
    Leanne LabriolaILOphthalmology Physician$726.1K$108.2K
    Vikas PatelILDermatology Physician$705.9K$0
    Yongsoo KwonILSurgery Physician$591.8K$28.1K

    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. Illinois Distribution
    Nicole Howell — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois
    Medicaid Revenue by Year vs. Illinois Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Nicole Howell — 0 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois