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    v1.0.28
    OpenPayerNPI Medicare & MedicaidShelley Hicks
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    Shelley Hicks — Billing Profile & Reimbursement Data

    NPI 1962643403 · Lebanon, VA · Family Nurse Practitioner

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    Shelley Hicks is a family nurse practitioner provider located in Lebanon, Virginia. This profile covers 11 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
    OrganizationShelley Hicks
    Address344 Overlook Dr Ste 200
    CityLebanon
    StateVA
    ZIP24266
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedMarch 12, 2009

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

    Payer SourceTotal Paid
    Medicare$30.1K
    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.

    11 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…320$70$23.6K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit30$110$2.9K
    99406The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.90$10$1.1K
    90674This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL…20$30$660
    G0008Administration of influenza virus vaccine20$30$600
    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$430
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.70$10$340
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.20$10$200
    96127The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.70$1$70
    J1100Injection, dexamethasone sodium phosphate, 1 mg150$0$0

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992143,40012,890140$80$21K
    G04392,3972,96080$120$14.7K
    80061602630180$10$8.1K
    G00082,9233,49070$30$3.1K
    364151,6592,620120$10$3K
    906747115020$30$1.2K
    963727821,38060$10$1.1K
    99406515020$10$390
    961272015030$1$150
    J1100397540470$1$120

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Wellmont Medical Associates IncVAFamily Medicine Physician$0$24.6M
    Takoma Regional Hospital IncTNGeneral Acute Care Hospital$0$20.1M
    Blue Ridge Medical Management CorporationTNFamily Nurse Practitioner$0$8M
    Wellmont Cardiology ServicesTNCardiovascular Disease Physician$0$3.1M
    Blue Ridge Medical Management CorporationTNPediatrics Physician$0$2.9M
    Blue Ridge Medical Management CorporationTNInternal Medicine Physician$0$2.8M
    Blue Ridge Medical Managgement CorporationTNInternal Medicine Physician$0$2.2M
    Sos NalghranyanFLHematology & Oncology Physician$1.1M$0
    Martin PalmeriNCHematology & Oncology Physician$931.8K$0
    Jason Della VecchiaTNAddiction Medicine (Internal Medicine) Physician$108.8K$623.2K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mountain States Health AllianceVAGeneral Acute Care Hospital$0$11.4M
    Highlands Ambulance Service IncVALand Ambulance$537.3K$639.9K
    Charlotte TownsendVAFamily Medicine Physician$227.2K$33.9K
    Shelley MillerVAFamily Nurse Practitioner$63.5K$2.8K
    Ramona BoydVAFamily Nurse Practitioner$44.1K$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. Virginia Distribution
    Shelley Hicks — 1 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia