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    OpenPayerNPI Medicare & MedicaidKaren Williams
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    Karen Williams — Billing Profile & Reimbursement Data

    NPI 1972959625 · Poteau, OK · Family Nurse Practitioner

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    Karen Williams is a family nurse practitioner provider located in Poteau, Oklahoma. This profile covers 13 Medicare and 7 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
    OrganizationKaren Williams
    Address104 S East Blvd
    CityPoteau
    StateOK
    ZIP74953
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedMay 12, 2016
    NPI DeactivatedJune 22, 2020

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

    Payer SourceTotal Paid
    Medicare$22.9K
    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…180$80$13.7K
    86481The lab analyst performs a test to evaluate an antigen response to certain tuberculosis (TB) antibodies by enumerating T cells that produce gamma interferon.20$90$1.9K
    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.160$10$1.6K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.150$10$1.2K
    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…160$10$1.1K
    86140The lab analyst performs the technical lab test to analyze a specimen, typically serum, for the presence of C reactive protein.140$10$720
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.30$20$690
    73120X–rays of the extremities have been performed to assess injury, fracture, arthritis, bone spurs, tumors, or congenital abnormalities. Extremity X–rays include the hand, wrist, arm, foot, ankle, hip,…30$20$650
    82306The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…20$30$490
    85652The lab analyst performs a test on patient blood to evaluate the rate of sedimentation of red blood cells using an automated test platform.160$1$470

    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
    86481210960$100$92.5K
    992141,8585,560130$70$18.4K
    8230620712040$30$13K
    80053239280100$10$12.4K
    85025306350110$10$7.4K
    364156111,03090$10$3.4K
    861401560190$10$2.9K
    84550999040$1$2K
    8100125114040$1$1.9K
    856521850220$1$1.8K

    Showing 1–10 of 13

    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    80305The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…10$0$0
    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.120$0$0
    96160The provider administers a questionnaire aimed at helping to identify a specific health risk to a patient, analyzes the results, assigns a score, and documents the findings. Use this code for each…120$0$0
    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…120$0$0
    99406The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.80$0$0
    99408The provider spends 15 to 30 minutes screening a patient for abuse of alcohol or another non–tobacco substance. The provider then performs a brief intervention at the same session.100$0$0
    G0447Face-to-face behavioral counseling for obesity, 15 minutes70$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Oklahoma median

    7 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…1,3271,750870$70$254.4K
    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.144240190$10$9.6K
    99406The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.73120100$20$8.9K
    80305The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…117130140$10$6.9K
    99408The provider spends 15 to 30 minutes screening a patient for abuse of alcohol or another non–tobacco substance. The provider then performs a brief intervention at the same session.52050$30$3.4K
    96160The provider administers a questionnaire aimed at helping to identify a specific health risk to a patient, analyzes the results, assigns a score, and documents the findings. Use this code for each…139250170$1$1.1K
    G0447Face-to-face behavioral counseling for obesity, 15 minutes1530130$1$10

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Leflore County Hospital AuthorityOKCritical Access Hospital$0$5M
    Leflore County Hospital AuthorityOKRural Health Clinic/Center$0$3.7M
    J. DukeALSurgery Physician$1.3M$0
    Shujahat ShahOKInterventional Cardiology Physician$231.9K$0
    Tania VoraDCAdvanced Heart Failure and Transplant Cardiology Physician$141.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Choctaw Nation Of OklahomaOKPrimary Care Clinic/Center$0$30.3M
    Emergency Medical Services Of Leflore CountyOKPublic Health or Welfare Agency$1.3M$4.8M
    Brighter Heights Oklahoma, LLCOKMental Health Clinic/Center (Including Community Mental Health Center)$0$5.6M
    New Hope Counseling And Guidance Center LLCOKCounselor$0$4M
    Kerry Mcclure, LLCOKPediatric Occupational Therapist$0$2.8M
    Eastern Oklahoma Mental Health & Counseling LLCOKCommunity/Behavioral Health Agency$0$2.2M
    Serenity Counseling, Inc.OKCommunity/Behavioral Health Agency$0$1.8M
    William WillisOKGeneral Practice Physician$310K$0
    Vanessa LeeOKFamily Nurse Practitioner$283.9K$0
    Randall MatosOKPodiatrist$175.9K$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. Oklahoma Distribution
    Karen Williams — 0 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oklahoma
    Medicaid Revenue by Year vs. Oklahoma Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Oklahoma Distribution
    Karen Williams — 0 of 0 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oklahoma