Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Michigan for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Michigan only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Michigan (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Neena Kovalchik (NPI 1003292855)

Field	Value
Entity Type	Individual
Organization	Neena Kovalchik
Address	1200 East Michigan Avenue
City	Lansing
State	MI
ZIP	48912
Taxonomy	Adult Health Nurse Practitioner
NPI Enumerated	August 4, 2015

Payer Source	Total Paid
Medicare	$15.4K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	60	$110	$6.3K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	60	$80	$4.2K
G0316	Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date…	180	$20	$3.6K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	30	$50	$1.3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Michigan Distribution

Neena Kovalchik — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	2,431	4,220	70	$90	$12.3K
99232	5,747	6,730	90	$60	$12K
99223	1,721	4,880	40	$130	$8.3K
G0316	5	120	30	$20	$1.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Edward W Sparrow Hospital Association	MI	General Acute Care Hospital	$0	$126M
Residential Options, Inc.	MI	Behavior Analyst	$0	$53.8M
Lansing Urgent Care Plc	MI	Urgent Care Clinic/Center	$0	$27.5M
Vituity - Michigan Em PC	MI	Emergency Medicine Physician	$0	$9.9M
Lansing Radiology Associates P C	MI	Diagnostic Radiology Physician	$0	$8.2M
Epmg Western Michigan PLLC	MI	Emergency Medicine Physician	$0	$7.4M
Edward W. Sparrow Hospital Association	MI	Obstetrics & Gynecology Physician	$0	$5.8M
Lansing Mercy Ambulance Service, Inc.	MI	Land Ambulance	$466.7K	$2.3M
Christopher Sweet	MI	Diagnostic Radiology Physician	$1.3M	$0
Lake Lansing Asc Partners LLC	MI	Ambulatory Surgical Clinic/Center	$373.3K	$263.6K

Neena Kovalchik — Billing Profile & Reimbursement Data

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Neena Kovalchik — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References