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    v1.0.28
    OpenPayerNPI Medicare & MedicaidKaren Prill
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    Karen Prill — Billing Profile & Reimbursement Data

    NPI 1902899818 · Bristol, TN · Hematology & Oncology Physician

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    Karen Prill is a hematology & oncology physician provider located in Bristol, Tennessee. This profile covers 15 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
    OrganizationKaren Prill
    Address271 Medical Park Blvd
    CityBristol
    StateTN
    ZIP37620
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedAugust 25, 2005

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

    Payer SourceTotal Paid
    Medicare$39.2K
    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.

    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…230$100$23.1K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.350$10$3.5K
    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…50$70$3.1K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…330$10$2.6K
    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…10$130$1.7K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.230$10$1.6K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…40$20$670
    82728The lab analyst measures the level of ferritin, an important protein composed of about 20 percent iron. Ferritin also acts as an iron reserve in the body, and is present in serum in only minute…50$10$600
    83615The lab analyst measures the lactate dehydrogenase, typically in a serum sample. Lactate dehydrogenase is found in many body tissues, especially in the liver, kidney, and heart, and also in red blood…80$10$470
    83735The lab analyst performs a test to measure the amount of magnesium in a patient specimen.60$10$440

    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
    992143,57711,370120$80$16.6K
    992137,19411,03080$50$8K
    992044,9025,49030$100$5.3K
    800534011,600160$10$4.3K
    844431,0161,37090$20$3.8K
    364151,1183,310120$10$3.2K
    850254071,870120$10$2.7K
    8500741060$1$2.5K
    8272825371030$10$1.5K
    8260772889030$10$1.4K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Aurora Medical Group, Inc.WICertified Registered Nurse Anesthetist$2.2K$139.2M
    Bon Secours-richmond Community Hospital LLCVAGeneral Acute Care Hospital$0$57.1M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Bon Secours Memorial Regional Medical Center LLCVAGeneral Acute Care Hospital$0$41.9M
    Johnston Memorial Hospital, IncVAGeneral Acute Care Hospital$0$35.9M
    Aurora Psychiatric Hospital, Inc.WIPsychiatric Hospital$0$28.2M
    Wellmont Medical Associates IncTNPulmonary Disease Physician$0$27.8M
    Covenant Medical Group, Inc.TNFamily Medicine Physician$0$17.9M
    Aurora Medical Center Of Oshkosh, IncWIGeneral Acute Care Hospital$0$16.4M
    Aurora Health Care Central, Inc.WIGeneral Acute Care Hospital$0$12.4M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Wellmont Health SystemTNGeneral Acute Care Hospital$0$27.3M
    Bristol Pediatric Dentistry PLLCTNPediatric Dentistry$0$23.4M
    Ipc Pac Healthcare Services Of Tennessee PCTNInternal Medicine Physician$0$8.5M
    Blue Ridge Radiology, P.C.TNDiagnostic Radiology Physician$0$4.2M
    Youthcare PediatricsTNPediatrics Physician$0$3.1M
    Applachian Recovery Care, PLLCTNAddiction Medicine (Internal Medicine) Physician$0$2.4M
    Ambulance Service Of Bristol IncTNAmbulance$836.3K$1.5M
    Mountain Empire Cataract & Eye Surgery CenterTNAmbulatory Surgical Clinic/Center$953.1K$929.5K
    The Endoscopy Center Of BristolTNAmbulatory Surgical Clinic/Center$508.4K$181.3K
    Renaissance Surgery Center, LLCTNAmbulatory Surgical Clinic/Center$669.7K$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. Tennessee Distribution
    Karen Prill — 0 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee