Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidVirginia Mccartney
    Ask Trek AI about this page

    Virginia Mccartney — Billing Profile & Reimbursement Data

    NPI 1740671395 · Lancaster, PA · Family Nurse Practitioner

    Customize your policy alerts

    Sign up for Virginia Mccartney — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Virginia Mccartney is a family nurse practitioner provider located in Lancaster, Pennsylvania. 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationVirginia Mccartney
    Address555 N Duke St
    CityLancaster
    StatePA
    ZIP17602
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedFebruary 17, 2015

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

    Payer SourceTotal Paid
    Medicare$10.3K
    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
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…50$50$2.7K
    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…30$50$1.7K
    74230The provider visualizes and records the patient’s swallowing pattern using barium sulfate contrast and cineradiography/videoradiography; scout neck films and delayed images may be obtained and, if…70$20$1.1K
    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…20$60$1.1K
    32555In this procedure, the provider removes the fluid, blood, or air from the space between the lungs and chest wall using a needle or catheter.  He performs the procedure using imaging guidance.20$70$1.1K
    74221The provider performs a double–contrast X–ray of the esophagus using high–density barium and an effervescent agent; the procedure includes scout films prior to ingestion of the barium and delayed…40$20$780
    62284The provider injects contrast into the subarachnoid space of the lumbar spine to conduct an imaging examination of the spinal cord, nerve roots, and membranes of the lumbar spine.10$50$760
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…20$30$540
    77003The provider uses fluoroscopic guidance to place a needle or catheter in the spine or area adjacent to the spinal column to perform procedures to detect the extent or cause of a disease or to treat…20$20$290
    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,…10$20$280

    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
    9921421,40623,230100$80$14.5K
    992326,74310,87080$60$9.6K
    992033,4597,33030$70$3.5K
    3255518323030$80$3.2K
    992312,5513,01040$40$3.1K
    992124,3904,72030$40$2.3K
    6228451020$60$990
    742302935030$20$660
    7422149020$30$520
    7700382020$20$360

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vivek SehgalNJDiagnostic Radiology Physician$281.4K$265.1K
    Sudeep BhabadILNeuroradiology Physician$68.4K$428.4K
    Edmund HarrisNJDiagnostic Radiology Physician$421.5K$65.4K
    Santhosh GaddikeriNJDiagnostic Radiology Physician$80.5K$403.5K
    Thomas MaclennanPADiagnostic Radiology Physician$469.2K$0
    Norman PenningtonNJDiagnostic Radiology Physician$207.4K$17.2K
    Edgar FearnowPAVascular & Interventional Radiology Physician$197.3K$0
    Gene CarpenterPADiagnostic Radiology Physician$196.5K$60
    Michael CousarPADiagnostic Radiology Physician$187.6K$120
    Justin WilsonPADiagnostic Radiology Physician$183.3K$550

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lancaster General HospitalPAGeneral Acute Care Hospital$0$33.7M
    H.e.a.r., Inc.PASubstance Abuse Rehabilitation Facility$0$12.7M
    Union Community CarePAFederally Qualified Health Center (FQHC)$0$11.6M
    Union Community CarePAFederally Qualified Health Center (FQHC)$0$8.8M
    Commonwealth Clinical Group, Inc.PACommunity/Behavioral Health Agency$0$7.3M
    Lancaster Emergency Associates LtdPAEmergency Medicine Physician$0$7.1M
    Hyatt DegreenPAHematology & Oncology Physician$1.4M$0
    Lena DumasiaPAHematology & Oncology Physician$1M$0
    Farhan HuqPADermatology Physician$235.6K$0
    Marena FaresPAPhysician Assistant$208K$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. Pennsylvania Distribution
    Virginia Mccartney — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania