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    OpenPayerNPI Medicare & MedicaidNeila Hernandez
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    Neila Hernandez — Billing Profile & Reimbursement Data

    NPI 1912086901 · Durham, NC · Women's Health Nurse Practitioner

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    Neila Hernandez is a women's health nurse practitioner provider located in Durham, North Carolina. This profile covers 8 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
    OrganizationNeila Hernandez
    Address5324 Mcfarland Rd Ste 200
    CityDurham
    StateNC
    ZIP27707
    TaxonomyWomen's Health Nurse Practitioner
    NPI EnumeratedNovember 2, 2006

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

    Payer SourceTotal Paid
    Medicare$6.3K
    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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$50$2.3K
    77067The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…20$90$1.6K
    G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination20$30$770
    Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory20$40$530
    77063The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…20$30$470
    87510The lab analyst performs a test for Gardnerella vaginalis using direct nucleic acid probe technique. Gardnerella vaginalis typically causes bacterial vaginosis, an infection of the vagina that…20$20$340
    87660The lab analyst performs a test for Trichomonas vaginalis using direct nucleic acid probe technique.20$20$340
    81002The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…20$1$50

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    77067559650180$70$24.7K
    77063554640180$40$12.4K
    9921310,12016,32070$50$7.1K
    G010125753020$40$1.2K
    Q009113919020$40$1.1K
    8751082020$20$1K
    8766011020$20$320
    8100277994030$1$230

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Uwh Of The Carolinas, PLLCNCObstetrics & Gynecology Physician$0$14.9M
    Jamie ShutterNVAnatomic Pathology & Clinical Pathology Physician$582.7K$0
    Michelle SimmonsNCObstetrics & Gynecology Physician$314.3K$0
    Betsy LantnerNYObstetrics & Gynecology Physician$168.5K$76.1K
    Francine FradellaNYObstetrics & Gynecology Physician$154.8K$0
    Jocelyn ClarkNCDiagnostic Radiology Physician$146.3K$0
    Jessica RuhlandNCDiagnostic Radiology Physician$129.6K$0
    Emilie RalstonNCDiagnostic Radiology Physician$128.2K$0
    Rachel MceachernNCDiagnostic Radiology Physician$126.8K$0
    Jerry NiniaNYObstetrics & Gynecology Physician$115.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Carolina Outreach, LLCNCCommunity/Behavioral Health Agency$0$47.6M
    Alpha Management Services, Inc.NCCommunity/Behavioral Health Agency$0$18.9M
    Lincoln Community Health Center IncorporatedNCFederally Qualified Health Center (FQHC)$0$18.1M
    Alpha Management Community Services, IncNCCommunity/Behavioral Health Agency$0$14.7M
    Youth Extensions Inc.NCCommunity/Behavioral Health Agency$0$14.4M
    Maxim Healthcare Services, Inc.NCHome Health Agency$0$10.7M
    Tonya Omar, PLLCNCCommunity/Behavioral Health Agency$0$9.7M
    Emerge-a Child's Place, PLLCNCSpeech-Language Pathologist$0$9.6M
    Quality Life Home Health Care LLCNCHome Health Agency$0$9M
    Easter Seals Ucp North Carolina & Virginia, Inc.NCCommunity/Behavioral Health Agency$0$8.3M

    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. North Carolina Distribution
    Neila Hernandez — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina