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    OpenPayerNPI Medicare & MedicaidSarita Price
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    Sarita Price — Billing Profile & Reimbursement Data

    NPI 1720682735 · Gallatin, TN · Family Nurse Practitioner

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    Sarita Price is a family nurse practitioner provider located in Gallatin, Tennessee. This profile covers 14 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
    OrganizationSarita Price
    Address405 Steam Plant Rd
    CityGallatin
    StateTN
    ZIP37066
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedNovember 30, 2020

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

    Payer SourceTotal Paid
    Medicare$39K
    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.

    14 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…240$80$18.6K
    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…120$50$6.4K
    99204The 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…50$100$4.8K
    87086Culture, bacterial; quantitative, colony count, urine.230$10$1.8K
    87088The lab analyst or microbiologist observes a urine culture with an unknown organism or organisms and makes a presumptive identification of each organism that needs identification.160$10$1.3K
    57160In this procedure, the provider fits and inserts a pessary or similar device into the vagina to treat vaginal wall prolapse or other disorders.30$50$1.2K
    87184The lab analyst performs the technical steps to evaluate a culture isolate’s susceptibility, or sensitivity, to up to 12 specific antimicrobial agents, commonly called antibiotics, by placing disks…160$10$1.1K
    51798Providers perform this ultrasound to measure the volume of residual urine in the bladder.140$10$990
    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…10$70$910
    81001Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…270$1$820

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992143,43811,370120$80$16.6K
    992134,08311,03080$50$8K
    8708697040$10$7K
    992041,9725,49030$100$5.3K
    364153,0073,310120$10$3.2K
    992033,2373,75030$70$3.1K
    8415338545030$20$2.5K
    51798119250130$10$1.6K
    51701344030$30$1.4K
    57160143030$40$1.3K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Radiology Alliance PCTNDiagnostic Radiology Physician$0$13.2M
    James GrayTNRadiation Oncology Physician$4.9M$0
    David MorrisTNUrology Physician$404.7K$0
    Gautam JayramTNUrology Physician$340.5K$0
    Marcy AbelTNUrogynecology and Reconstructive Pelvic Surgery (Urology) Physician$311.6K$0
    Vivek NarainTNUrology Physician$209.9K$0
    William TissotTNUrology Physician$189K$0
    Michael BelsanteTNUrology Physician$182.5K$0
    John HassanTNUrology Physician$160.2K$0
    Christopher HawkinsTNUrology Physician$153.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Group Effort Of Tennessee, LLC.TNDevelopmental Disabilities Clinic/Center$0$31.4M
    Vip Midsouth, LLCTNPediatrics Physician$0$30.4M
    Sumner Regional Medical Center LLCTNGeneral Acute Care Hospital$0$11.8M
    21st Century Rehabilitation ServicesTNIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$9.5M
    County Of SumnerTNLand Ambulance$1.6M$4.5M
    Trinity Pediatrics, P.C.TNPediatrics Physician$0$5.8M
    Children's Dentistry Of GallatinTNPediatric Dentistry$0$5.4M
    Emergency Physicians At Sumner PLLCTNEmergency Medical Services (Emergency Medicine) Physician$0$3.4M
    Tamjeed AhmedTNHematology & Oncology Physician$913.2K$0
    Dianna ShipleyTNMedical Oncology Physician$636.7K$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. Tennessee Distribution
    Sarita Price — 1 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee