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    OpenPayerNPI Medicare & MedicaidShelley Warr
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    Shelley Warr — Billing Profile & Reimbursement Data

    NPI 1750347258 · Mountain Home, AR · Internal Medicine Physician

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    Shelley Warr is a internal medicine physician provider located in Mountain Home, Arkansas. This profile covers 17 Medicare and 21 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
    OrganizationShelley Warr
    Address405 Buttercup Dr
    CityMountain Home
    StateAR
    ZIP72653
    TaxonomyInternal Medicine Physician
    NPI EnumeratedApril 24, 2006

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

    Payer SourceTotal Paid
    Medicare$164.7K
    Medicaid$66.1K

    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.

    17 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…840$60$46K
    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$70$45.9K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit280$120$33.7K
    99495The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires at least moderate medical decision making,…50$150$7.8K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…150$40$6.5K
    87502The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…50$90$4.9K
    G0008Administration of influenza virus vaccine150$30$4.3K
    90756This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no antibiotics, and is administered as a 0.5 mL injection into…120$30$3.9K
    87635Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…70$50$3.6K
    90694This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…30$80$2.3K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992145234,300130$70$18.8K
    9949084140220$40$16.6K
    G0439821,06080$90$10.1K
    992131264,180100$50$9.6K
    9069430741060$70$6.5K
    992041,3042,10040$100$5.4K
    87502177030$90$3.7K
    994951224020$110$2.9K
    G00082291,34060$30$2.5K
    9075674040$30$2.2K

    Showing 1–10 of 17

    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.

    21 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…1,720$30$49.9K
    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…370$50$16.6K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.10$10$140
    1034FNo Summary found for this code40$0$0
    1036FN/A320$0$0
    1125FThe provider measures the severity of pain in a patient with cancer who receives chemotherapy or radiotherapy during the measurement period. Report this code if the patient experiences pain.260$0$0
    1126FThe provider measures the severity of pain in a patient with cancer who receives chemotherapy or radiotherapy during the measurement period. Report this code if the patient does not experience pain.10$0$0
    1159FNo Summary found for this code1,220$0$0
    1160FNo Summary found for this code1,200$0$0
    1170FThe provider assesses the functional status of a patient with rheumatoid arthritis, or RA. The assessment may evaluate the patient’s level of activities of daily living, or ADL, and or status of…250$0$0

    Showing 1–10 of 21

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Arkansas median

    21 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…8721,520550$40$128.7K
    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…5131,740550$30$88.8K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.168170620$10$23.3K
    G8510Screening for depression is documented as negative, a follow-up plan is not required364060$1$190
    G0444Annual depression screening, 5 to 15 minutes404050$1$80
    1125FThe provider measures the severity of pain in a patient with cancer who receives chemotherapy or radiotherapy during the measurement period. Report this code if the patient experiences pain.2260130$1$30
    3008FNo Summary found for this code59130820$1$20
    1159FNo Summary found for this code38160300$1$20
    1170FThe provider assesses the functional status of a patient with rheumatoid arthritis, or RA. The assessment may evaluate the patient’s level of activities of daily living, or ADL, and or status of…33070$1$10
    3074FNo Summary found for this code136250220$1$10

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lincoln Paden Medical Group PLLCARFamily Medicine Physician$0$1.9M
    Lance LincolnARInternal Medicine Physician$271.2K$62.8K
    James WarrARFamily Medicine Physician$191.8K$0
    Tim PadenARFamily Medicine Physician$155.9K$0
    John BaltzARFamily Medicine Physician$117.7K$0
    Deborah SteppARFamily Nurse Practitioner$45.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Gracon, Inc.ARHome Health Agency$0$23.1M
    Kidspiration Pediatric Therapy Services, Inc.ARPrimary Care Clinic/Center$0$16.5M
    Baxter County Regional Hospital, IncARGeneral Acute Care Hospital$0$15.2M
    Developmental Discoveries, Inc.ARIn Home Supportive Care Agency$0$8M
    River Lodge Assisted Living LLCARAssisted Living Facility$0$5.1M
    Bradley Wayne Coleman,d.d.s.ARDentist$0$3.6M
    Hometown Behavioral Health Services Of Ak Inc.ARMental Health Counselor$0$3.5M
    Baxter Day Service Center, Inc.ARPreferred Provider Organization$0$3.4M
    Baxter County Regional Hospital IncARGeneral Acute Care Hospital$0$3M
    Twin River Community Living FacilityARIn Home Supportive Care Agency$0$2.5M

    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. Arkansas Distribution
    Shelley Warr — 2 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arkansas
    Medicaid Revenue by Year vs. Arkansas Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Arkansas Distribution
    Shelley Warr — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arkansas