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    v1.0.28
    OpenPayerNPI Medicare & MedicaidGrace Wimberley
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    Grace Wimberley — Billing Profile & Reimbursement Data

    NPI 1831592302 · Mobile, AL · Physician Assistant

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    Grace Wimberley is a physician assistant provider located in Mobile, Alabama. This profile covers 13 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
    OrganizationGrace Wimberley
    Address6144 Airport Blvd
    CityMobile
    StateAL
    ZIP36608
    TaxonomyPhysician Assistant
    NPI EnumeratedSeptember 29, 2014

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

    Payer SourceTotal Paid
    Medicare$16.7K
    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.

    13 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…70$70$5.4K
    23472In this procedure, the provider performs a total shoulder arthroplasty in which the provider replaces the damaged head of the humerus and the glenoid cavity with prosthetic implants. The provider…30$140$4.9K
    29827The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and…20$110$2K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…30$40$1.1K
    29824The provider examines the tissue inside the shoulder joint with an arthroscope and inserts additional instruments to remove a portion of the clavicle, or collarbone. An arthroscopic Mumford procedure…20$30$790
    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…10$60$730
    29828The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair an unstable biceps tendon, the fibrous band that connects the biceps…10$40$600
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.30$20$480
    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…50$10$360
    29826The provider examines the tissue inside the shoulder joint with an arthroscope. He inserts additional instruments and repairs the shoulder blade and coracoacromial ligament to alleviate shoulder…20$20$320

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    29827289020$870$19.2K
    992144,6967,330120$80$16.8K
    2347265020$680$14.3K
    2982882010$730$11.7K
    992136,2466,47080$50$7.9K
    29824196020$290$7.2K
    2061043360060$50$5.1K
    29826378020$80$1.8K
    963721,6022,50070$10$1.1K
    7303045365040$20$940

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Orthopaedic Group, PCALSpecialist$0$1.4M
    Vanna EslavaALFamily Nurse Practitioner$391.6K$0
    Michael BlackmerALAdult Reconstructive Orthopaedic Surgery Physician$239K$0
    Robert BairdALOrthopaedic Surgery Physician$200.3K$0
    Charles WilsonALSports Medicine (Orthopaedic Surgery) Physician$199.7K$0
    Michael EslavaALSports Medicine (Orthopaedic Surgery) Physician$191.1K$0
    James SpainALSports Medicine (Family Medicine) Physician$176.4K$0
    Matthew BarberALOrthopaedic Surgery Physician$168.8K$0
    James WestALOrthopaedic Surgery of the Spine Physician$165.9K$0
    Jacob KidderALOrthopaedic Surgery Physician$151.3K$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. Alabama Distribution
    Grace Wimberley — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama