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    v1.0.28
    OpenPayerNPI Medicare & MedicaidHeather Barger
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    Heather Barger — Billing Profile & Reimbursement Data

    NPI 1760906838 · Petersburg, WV · Family Nurse Practitioner

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    Heather Barger is a family nurse practitioner provider located in Petersburg, West Virginia. This profile covers 15 Medicare and 2 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
    OrganizationHeather Barger
    Address111 S Grove St Ste 1
    CityPetersburg
    StateWV
    ZIP26847
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedAugust 1, 2017

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

    Payer SourceTotal Paid
    Medicare$53.5K
    Medicaid$870

    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.

    15 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…350$70$24.3K
    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…310$50$13.9K
    99496The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…50$170$8.9K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit20$100$1.5K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…150$10$1K
    J1040Injection, methylprednisolone acetate, 80 mg150$10$1K
    99497The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…20$40$920
    87426The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…20$30$790
    87804The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.30$20$480
    J1030Injection, methylprednisolone acetate, 40 mg50$10$240

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992143382,740100$70$11.8K
    G043950656060$120$9.3K
    992133392,86080$50$7.5K
    994978011040$60$5K
    99496210020$180$3.9K
    874267814030$30$1.2K
    8780410816040$20$1K
    G04448910040$10$910
    G0442243030$20$900
    963722833040$10$620

    Showing 1–10 of 15

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99335N/A90$10$550
    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…30$10$360

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. West Virginia median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…1,1731,2701,240$30$245K
    99335N/A11050$10$580

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    E. A. Hawse Health Center, Inc.WVFederally Qualified Health Center (FQHC)$0$7.8M
    E.a. Hawse Health Center IncWVFederally Qualified Health Center (FQHC)$0$4.9M
    E. A. Hawse Health Center, Inc.WVFederally Qualified Health Center (FQHC)$0$4.2M
    E. A. Hawse Health Center, Inc.WVFederally Qualified Health Center (FQHC)$0$3.3M
    E. A. Hawse Health Center, Inc.WVFederally Qualified Health Center (FQHC)$0$1.4M
    E.a. Hawse Health Center Inc.WVFederally Qualified Health Center (FQHC)$0$1.3M
    Jerry HahnWVProcedural Dermatology Physician$1.1M$0
    Stephen ThompsonWVInternal Medicine Physician$99.4K$6.8K
    Benjamin LeslieWVInternal Medicine Physician$87.8K$7.5K
    Caroline ArmstrongWVInternal Medicine Physician$75K$10.1K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Potomac Highlands GuildWVCommunity/Behavioral Health Agency$0$38.9M
    Potomac Highlands Mental Health Guild, Inc.WVCommunity/Behavioral Health Agency$0$17.1M
    Grant Memorial HospitalWVCritical Access Hospital$0$13M
    Commission On Aging Family ServicesWVCommunity Based Hospice Care Agency$0$3.3M
    Grant Memorial Hospital IncWVCritical Access Hospital$0$2.4M
    John L Hahn Md IncWVObstetrics & Gynecology Physician$0$1.4M
    County Of GrantWVLand Ambulance$271.5K$998.9K
    Khaled SaidWVEmergency Medicine Physician$81.7K$1.5K
    Theodore WeitzWVEmergency Medicine Physician$42.4K$0
    Melissa MathiasWVFamily Nurse Practitioner$36.2K$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. West Virginia Distribution
    Heather Barger — 2 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia
    Medicaid Revenue by Year vs. West Virginia Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. West Virginia Distribution
    Heather Barger — 1 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia