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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMegan O'neal
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    Megan O'neal — Billing Profile & Reimbursement Data

    NPI 1689158040 · Waterloo, IA · Nurse Practitioner

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    Megan O'neal is a nurse practitioner provider located in Waterloo, Iowa. This profile covers 11 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.

    (source: NPPES NPI Registry)

    Table of contents

    Progress1 / 7

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    Provider details
    FieldValue
    Entity TypeIndividual
    OrganizationMegan O'neal
    Address1631 Logan Ave
    CityWaterloo
    StateIA
    ZIP50703
    TaxonomyNurse Practitioner
    NPI EnumeratedSeptember 21, 2018

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

    Payer SourceTotal Paid
    Medicare$25K
    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…110$50$5.8K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…120$40$5.1K
    99203The 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…70$70$4.7K
    27447In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…30$130$3.8K
    27130In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…10$130$1.8K
    J1040Injection, methylprednisolone acetate, 80 mg130$10$1.2K
    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…10$70$950
    99212The 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,…20$40$740
    29125The provider applies a static, or rigid, splint to the lower arm extending from the elbow to the palm to immobilize an injury to the forearm or wrist during healing or for stabilization of a fracture…20$40$620
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.20$20$360

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    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 CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2744711719040$870$41.7K
    2713012014030$790$25.4K
    992144,4974,690100$70$14.4K
    992132,1214,740100$50$8K
    2061013752050$40$4.2K
    992033491,60030$60$3.2K
    992128751,24040$30$2.1K
    7303031237040$10$930
    J10402113040$10$800
    2912511010$40$490

    Showing 1–10 of 11

    Nearby Providers

    Other providers in the same ZIP code as Megan O'neal, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Peoples Community Health Clinic, Inc.IAFederally Qualified Health Center (FQHC)$0$44.8M
    Allen Memorial Hospital CorporationIAGeneral Acute Care Hospital$0$21.9M
    Exceptional Persons IncIAMental Illness Community Based Residential Treatment Facility$0$17.2M
    City Of WaterlooIALand Ambulance$525.8K$15.3M
    Allen Memorial Hospital CorporationIAEmergency Medicine Physician$0$6.9M
    Bakari Behavioral Health Inc.IACommunity/Behavioral Health Agency$0$6.1M
    Iowa Northland Regional Transit CommissionIABus$0$2.8M
    North Iowa Juvenile Detention ServicesIAMental Illness Community Based Residential Treatment Facility$0$2.3M
    Allen Memorial Hospital CorporationIAWomen's Health Nurse Practitioner$0$2.1M
    Open Arms Home Health Care - Waterloo, LLCIAHome Health Agency$0$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. Iowa Distribution
    Megan O'neal — 1 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa