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    v1.0.28
    OpenPayerNPI Medicare & MedicaidKarin Maddox
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    Karin Maddox — Billing Profile & Reimbursement Data

    NPI 1780644997 · Panama City, FL · Neurology Physician

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    Karin Maddox is a neurology physician provider located in Panama City, Florida. This profile covers 17 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
    OrganizationKarin Maddox
    Address2202 State Ave Ste 201
    CityPanama City
    StateFL
    ZIP32405
    TaxonomyNeurology Physician
    NPI EnumeratedMarch 23, 2006

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

    Payer SourceTotal Paid
    Medicare$178.4K
    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.

    17 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…980$90$88.2K
    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…280$70$19K
    95910In this procedure, the provider performs seven or eight nerve conduction studies, a diagnostic test to evaluate the function, especially the electrical conduction ability of the motor and sensory…130$130$17.7K
    95885The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction studies. The provider performs…210$50$10.2K
    95886The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…100$70$7.5K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.50$150$6.9K
    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$120$5.9K
    64493The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…60$70$3.9K
    27096The provider performs an injection in the joint between the sacrum and ilium on one side of the body, with the aid of imaging equipment to locate the injection site. He injects an anesthetic to…40$90$3.3K
    64636In this add on procedure, the provider destroys the facet joint nerve of a lumbar or sacral spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of…60$50$2.9K

    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
    6463524956040$400$26.4K
    992141,93632,760140$90$25K
    6449335373050$190$17K
    6463321426030$380$14.6K
    992135,97930,01080$60$12K
    9588618141080$80$11.3K
    6463614243040$160$10.3K
    9591116924030$160$7.9K
    2709626954040$130$7.2K
    992047,72019,04040$110$7K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    David SinclairMSClinical Neurophysiology Physician$56.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bay Hospital, IncFLGeneral Acute Care Hospital$0$19.3M
    Panama City Surgery Center,llcFLAmbulatory Surgical Clinic/Center$1.8M$14.8M
    Panhandle Pediatric Dentistry, PLLCFLPediatric Dentistry$0$14.7M
    The Surgical Center For Excellence, LllpFLAmbulatory Surgical Clinic/Center$18.8K$11.7M
    Rainbow Pediatrics PC LLCFLPediatrics Physician$0$8.3M
    Emerald Coast Pediatrics & AdolescentsFLPediatrics Physician$0$8M
    Life Management Center Of Nw Fl, Inc.FLPsychiatry Physician$0$7.9M
    Hospice Of The Emerald Coast, Inc.FLCommunity Based Hospice Care Agency$0$7.5M
    Amir AghaFLRheumatology Physician$3.6M$0
    Jon WardFLMOHS-Micrographic Surgery Physician$2.1M$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Florida Distribution
    Karin Maddox — 1 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida