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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMargaret Flather
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    Margaret Flather — Billing Profile & Reimbursement Data

    NPI 1730176710 · Fishersville, VA · Gynecology Physician

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    Margaret Flather is a gynecology physician provider located in Fishersville, Virginia. This profile covers 10 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 Flather
    Address39 Beam Ln
    CityFishersville
    StateVA
    ZIP22939
    TaxonomyGynecology Physician
    NPI EnumeratedOctober 4, 2005

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

    Payer SourceTotal Paid
    Medicare$92.5K
    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.

    10 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…620$90$55.9K
    Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory240$40$10.2K
    G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination240$40$9.2K
    76830The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.90$90$8.7K
    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…30$130$3.4K
    82270The lab analyst uses a peroxidase activity method to perform a colorectal cancer screening test for the presence of hidden blood in a fecal specimen that the patient collects from three consecutive…440$1$1.8K
    58100The provider takes a tissue sample from the lining of the uterus to perform an endometrial biopsy without widening the cervix. The provider may also perform endocervical biopsy.20$80$1.2K
    57160In this procedure, the provider fits and inserts a pessary or similar device into the vagina to treat vaginal wall prolapse or other disorders.20$60$990
    81002The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…150$1$450
    A4561Pessary, reusable, rubber, any type20$20$300

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141,35112,890140$80$21K
    992044,2886,85040$110$5.9K
    G0101953030$40$1.9K
    76830926020$70$1.8K
    Q0091221020$40$1.8K
    57160335030$50$1.6K
    5810041020$70$1.1K
    A456111020$20$290
    8100210095030$1$270
    8227015030$1$230

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Augusta Medical GroupVAGeneral Practice Physician$0$12.6M
    Ashley BlurtonVANuclear Medicine Physician$2.9M$0
    Benjamin HarrisPADiagnostic Radiology Physician$527.8K$504.9K
    Anish DesaiMDPulmonary Disease Physician$302.4K$374.2K
    Sumit DuggalMDCardiovascular Disease Physician$648.3K$0
    David WoodCADiagnostic Radiology Physician$641.3K$2.7K
    Todd BlodgettPADiagnostic Radiology Physician$380.1K$254K
    Jeffrey VandesandVADiagnostic Radiology Physician$550.4K$0
    Peter MinneciVAFamily Medicine Physician$547.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Augusta Health Care, IncVAGeneral Acute Care Hospital$0$63.6M
    Shenandoah Emergency Medicine Specialists LLCVAEmergency Medicine Physician$0$7.5M
    Shil PatelVAOphthalmology Physician$6.1M$0
    Yevgeniy ShildkrotVAOphthalmology Physician$1.5M$0
    Blue Ridge Pathologists PCVAAnatomic Pathology Physician$224.6K$1.2M
    James TiedemanVAOphthalmology Physician$782.7K$0
    William JonesVAUrology Physician$468.4K$0
    David BarnesVASpecialist$405.8K$150
    Rachna PatelVASpecialist$377K$0
    Glenn BrammerVAClinical Cardiac Electrophysiology Physician$375.6K$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. Virginia Distribution
    Margaret Flather — 4 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia