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

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

Mary Andersen (NPI 1033285564)

Field	Value
Entity Type	Individual
Organization	Mary Andersen
Address	11800 Singletree Ln
City	Eden Prairie
State	MN
ZIP	55344
Taxonomy	Clinical Nurse Specialist
NPI Enumerated	November 27, 2006

Payer Source	Total Paid
Medicare	$18.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	90	$80	$7.5K
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…	90	$50	$4.2K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	30	$110	$3.5K
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…	40	$60	$2.6K
96127	The 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	$1	$350

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Minnesota Distribution

Mary Andersen — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	966	1,150	90	$130	$13.8K
99214	6,733	10,100	70	$80	$8.1K
99215	558	4,060	30	$120	$5.9K
99213	2,301	9,120	50	$50	$4K
96127	10	70	30	$1	$180

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ear Professionals International LLC	MN	Hearing Aid Equipment	$0	$32.4M
Optumrx, Inc.	MN	Durable Medical Equipment & Medical Supplies	$0	$18.5M
Psi Pride Institute Inc	MN	Substance Abuse Rehabilitation Facility	$0	$15.6M
Pioneer Care LLC	MN	Assisted Living Facility	$0	$13.9M
Group Health, Inc.	MN	Clinical Medical Laboratory	$2.4M	$11.5M
Consulting Radiologists, Ltd	MN	Diagnostic Radiology Physician	$0	$10.3M
Sidky Family Dentistry	MN	General Practice Dentistry	$0	$6.3M
Taylor Jordan	MN	Diagnostic Radiology Physician	$545.8K	$0
Ann Marie Equio	MN	Family Nurse Practitioner	$512.2K	$0
Shawn Ahmed	MN	Diagnostic Radiology Physician	$505K	$0

Mary Andersen — Billing Profile & Reimbursement Data

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Mary Andersen — 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