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 Arizona for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Arizona 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. Arizona (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.

Kristy Whelan (NPI 1033214606)

Field	Value
Entity Type	Individual
Organization	Kristy Whelan
Address	2082 Mesquite Ave
City	Lake Havasu City
State	AZ
ZIP	86403
Taxonomy	Family Medicine Physician
NPI Enumerated	September 14, 2006

Payer Source	Total Paid
Medicare	$240.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The 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…	1,620	$80	$132.4K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	570	$130	$71.6K
G0444	Annual depression screening, 5 to 15 minutes	560	$20	$10K
G0442	Annual alcohol misuse screening, 5 to 15 minutes	310	$20	$5.5K
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	30	$160	$5.3K
G0402	Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	30	$150	$4.5K
99213	The 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…	70	$50	$3.8K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	40	$80	$3K
99204	The 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…	20	$90	$2.1K
99443	N/A	30	$70	$1.8K

Showing 1–10 of 12

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Arizona Distribution

Kristy Whelan — 4 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arizona

Full comparison — all codes billed, vs. state median

12 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	138	10,410	120	$80	$20.6K
G0439	21	2,360	60	$120	$12.3K
99213	4,987	9,600	80	$60	$9.6K
99204	3,953	5,790	40	$110	$6.7K
99497	407	720	50	$60	$5.6K
G0438	66	330	20	$150	$3.8K
99443	191	380	30	$80	$3.5K
G0402	11	250	10	$150	$2.5K
G0444	10	780	60	$20	$1.8K
G0442	29	480	70	$20	$1.8K

Showing 1–10 of 12

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
River Medical Inc	AZ	Land Ambulance	$3.4M	$55.7M
Rural Metro Corporation	AZ	Land Ambulance	$1.3M	$22.3M
Havasu Regional Medical Center LLC	AZ	Rural Acute Care Hospital	$0	$23.2M
North Country Healthcare, Inc.	AZ	Multi-Specialty Clinic/Center	$0	$9.6M
Fadi Atassi	AZ	Interventional Cardiology Physician	$2.5M	$15.4K
Rajitha Premaratne	AZ	Rheumatology Physician	$1.6M	$0
Barnet Dulaney Perkins Eye Center, PC	AZ	Ambulatory Surgical Clinic/Center	$1.1M	$46.2K
Michael Prater	AZ	Otolaryngology Physician	$982K	$0
William Anderson	AZ	Dermatology Physician	$964.8K	$0
Daniel Heiner	AZ	Orthopaedic Surgery Physician	$827.1K	$0

Kristy Whelan — Billing Profile & Reimbursement Data

Sign up for Kristy Whelan — Billing Profile & Reimbursement Data policy alerts

Kristy Whelan — Billing Profile & Reimbursement Data

Sign up for Kristy Whelan — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References