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    OpenPayerNPI Medicare & MedicaidDonna Wilson
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    Donna Wilson — Billing Profile & Reimbursement Data

    NPI 1982196432 · Morgan City, LA · Family Nurse Practitioner

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    Donna Wilson is a family nurse practitioner provider located in Morgan City, Louisiana. This profile covers 14 Medicare and 1 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
    OrganizationDonna Wilson
    Address1125 Marguerite St
    CityMorgan City
    StateLA
    ZIP70380
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedMay 31, 2018

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

    Payer SourceTotal Paid
    Medicare$35.9K
    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    0241UN/A70$140$10.1K
    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…190$50$8.6K
    99203The provider sees a new 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 provider…70$60$4.3K
    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…60$70$4.2K
    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$100$2.9K
    87811The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…50$40$2K
    87880The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.90$20$1.5K
    87804The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.50$20$810
    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…110$10$760
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…30$20$510

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992144,3446,670110$80$16.5K
    992131,3576,06070$50$8.1K
    0241U911020$140$5.1K
    992041,7373,19030$110$4.8K
    992033692,10030$70$3K
    8781112350030$40$1.7K
    7104650073050$10$1.4K
    8780421554050$20$1K
    963723681,60050$10$820
    87880632020$20$440

    Showing 1–10 of 14

    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.

    1 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…20$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Louisiana median

    1 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…3,0943,2301,120$30$204.3K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    South Louisiana Medical AssociatesLASurgery Physician$0$21.3M
    South Louisiana Medical AssociatesLAInternal Medicine Physician$0$7.4M
    Jordan JohnsonOKRetina Specialist (Ophthalmology) Physician$2.2M$0
    Stephen HypesSCRetina Specialist (Ophthalmology) Physician$1.8M$0
    James CroweLAInternal Medicine Physician$425.9K$0
    George WilliamsLAOrthopaedic Surgery of the Spine Physician$299.1K$0
    David ClauseLAOrthopaedic Surgery Physician$236.5K$0
    Ravali TarigopulaMSPulmonary Disease Physician$226.9K$8.8K
    Michael BurnellLAFamily Medicine Physician$172.6K$34K
    Amer RazaARPulmonary Disease Physician$206.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ochsner Morgan City LLCLAGeneral Acute Care Hospital$0$10.3M
    Pediatric Clinic Of St Mary Parish ApmcLAPediatrics Physician$0$8.8M
    Bayou Health Elderly & Disabled Care, Inc.LAPersonal Care Attendant$0$7.7M
    St Mary Emergency Group LLCLAEmergency Medicine Physician$0$6.5M
    St. Mary Parish Government/fairview Treatment CenteLASubstance Abuse Rehabilitation Facility$0$6M
    Bayou Health Elderly & Disabled Care, Inc.LAPersonal Care Attendant$0$5.6M
    Odyssey House Louisiana IncLASubstance Abuse Rehabilitation Facility$0$4.9M
    Natchez MoriceLAObstetrics & Gynecology Physician$1.9K$4.6M
    Darrell SoletLACardiovascular Disease Physician$312.3K$0
    Jared ThurstonLAOphthalmology Physician$216.7K$5.5K

    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. Louisiana Distribution
    Donna Wilson — 1 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Louisiana
    Medicaid Revenue by Year vs. Louisiana Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Louisiana Distribution
    Donna Wilson — 0 of 0 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Louisiana