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    William Fannin — Billing Profile & Reimbursement Data

    NPI 1982764551 · Pikeville, KY · Addiction Medicine (Internal Medicine) Physician

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    William Fannin is a addiction medicine (internal medicine) physician provider located in Pikeville, Kentucky. This profile covers 3 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
    OrganizationWilliam Fannin
    Address9 Flora Street
    CityPikeville
    StateKY
    ZIP41501
    TaxonomyAddiction Medicine (Internal Medicine) Physician
    NPI EnumeratedDecember 12, 2006

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

    Payer SourceTotal Paid
    Medicare$16.8K
    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.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J2315Injection, naltrexone, depot form, 1 mg5,320$1$16K
    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$10$170
    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…10$10$140

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    3 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J23151105,320$1$16.5K
    8030522627030$10$690
    963721,1611,24050$10$670

    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
    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

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Kentucky median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…447450430$10$26.8K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Positive Recovery Solutions, LLCPAGeneral Practice Physician$0$29.2M
    East Kentucky Rehabilitation CenterKYSubstance Use Disorder Rehabilitation Clinic/Center$0$6M
    Scott CookPAFamily Medicine Physician$130.6K$3.9M
    David HevertFLInternal Medicine Physician$587.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pikeville Medical Center IncKYGeneral Acute Care Hospital$0$181.5M
    Pikeville Medical Center Inc.KYMulti-Specialty Clinic/Center$0$34.2M
    Dungarvin Kentucky, LLC - PikevilleKYDevelopmentally Disabled Services Day Training Agency$0$16.3M
    Appalachian Community Care LLCKYProfessional Counselor$0$13.1M
    Joshua RaleighKYPediatric Dentistry$0$7.8M
    Bhg Xxv, LLCKYSubstance Use Disorder Rehabilitation Clinic/Center$228K$6.3M
    Renew Residential Treatment ServicesKYSubstance Abuse Rehabilitation Facility$0$4.9M
    Stepping Stones LLCKYSubstance Use Disorder Rehabilitation Clinic/Center$0$4.6M
    Chad StreetKYOral and Maxillofacial Surgery (Dentist)$0$3.8M
    Sujata GuttiKYNeurology Physician$82.9K$3.7M

    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. Kentucky Distribution
    William Fannin — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky
    Medicaid Revenue by Year vs. Kentucky Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Kentucky Distribution
    William Fannin — 0 of 0 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky