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    OpenPayerNPI Medicare & MedicaidSharon Cadd
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    Sharon Cadd — Billing Profile & Reimbursement Data

    NPI 1831627512 · Lexington, VA · Primary Care Nurse Practitioner

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    Sharon Cadd is a primary care nurse practitioner provider located in Lexington, Virginia. This profile covers 7 Medicare and 5 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
    OrganizationSharon Cadd
    Address33 Wren Ln
    CityLexington
    StateVA
    ZIP24450
    TaxonomyPrimary Care Nurse Practitioner
    NPI EnumeratedMay 25, 2017

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

    Payer SourceTotal Paid
    Medicare$252.5K
    Medicaid$6.5K

    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G0483Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…540$240$130.6K
    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…1,230$70$83.5K
    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…490$50$25.2K
    J3300Injection, triamcinolone acetonide, preservative free, 1 mg3,080$1$9.2K
    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…30$90$2.5K
    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…80$10$700
    J1885Injection, ketorolac tromethamine, per 15 mg310$0$0

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G0483210110$240$67.6K
    J33004103,080$1$63.1K
    9921424312,890140$80$21K
    9921387012,44090$60$10K
    992044,0976,85040$110$5.9K
    963725321,38060$10$1.1K
    J18851820070$1$60

    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.

    5 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…30$90$2.9K
    J3300Injection, triamcinolone acetonide, preservative free, 1 mg20$160$2.4K
    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…20$60$930
    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…10$10$150
    J1885Injection, ketorolac tromethamine, per 15 mg20$1$30

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Virginia median

    5 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…2,9273,520370$70$280.7K
    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…3,7554,010290$50$199.8K
    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…484510340$10$15K
    J3300Injection, triamcinolone acetonide, preservative free, 1 mg41030$60$3.5K
    J1885Injection, ketorolac tromethamine, per 15 mg1531602,660$1$2.6K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Consonant Healing Medical AssociatesMDSurgery Physician$0$7.2M
    Connie Maxwell-bealPAGerontology Nurse Practitioner$260.3K$0
    Ann CasamentoMDFamily Nurse Practitioner$226.5K$0
    Joann CainticNJAdult Health Nurse Practitioner$203K$0
    Susan KinnisonVASurgery Physician$161.8K$0
    Arin LongfellowWVAdult Health Nurse Practitioner$161.4K$0
    Adrianna DefreeseVAAcute Care Nurse Practitioner$154.4K$0
    Shayla KeysAE (Armed Forces Europe)Acute Care Nurse Practitioner$145.5K$0
    Christine FilMDFamily Nurse Practitioner$140.4K$0
    Kathryn StillmanDEFamily Nurse Practitioner$140.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rockbridge Area Community Services BoardVACommunity/Behavioral Health Agency$0$25.3M
    Carilion Rockbridge Community HospitalVACritical Access Hospital$0$11.8M
    Med-trans CorporationVAAir Ambulance$797.2K$128.5K
    William McclungVAFamily Medicine Physician$367.4K$0
    Timothy HarrisonVAOphthalmology Physician$295.8K$2.9K
    Scott DubitVAFamily Medicine Physician$83.2K$670
    Claiborne WhitworthVAUrology Physician$48.3K$0
    Ryan AustinVACertified Registered Nurse Anesthetist$39.3K$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.

    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. Virginia Distribution
    Sharon Cadd — 1 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia
    Medicaid Revenue by Year vs. Virginia Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Virginia Distribution
    Sharon Cadd — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia