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

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

Teresa Reading (NPI 1043259781)

Field	Value
Entity Type	Individual
Organization	Teresa Reading
Address	324 10th Ave
City	Salt Lake City
State	UT
ZIP	84103
Taxonomy	Surgery Physician
NPI Enumerated	June 6, 2006

Payer Source	Total Paid
Medicare	$15.5K
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
19301	The provider removes a lesion, including surrounding margins, or a significant portion (a segment or quadrant) of the breast without removing the entire breast or lymph nodes.	20	$500	$10.1K
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	$120	$2.6K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	30	$30	$1.1K
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…	10	$90	$970
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…	10	$60	$740

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. Utah Distribution

Teresa Reading — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	4,056	4,080	80	$80	$11.6K
19301	6	20	20	$460	$10.2K
99213	3,601	3,680	60	$50	$6.4K
99204	1,029	1,790	30	$100	$4.1K
99212	249	680	30	$40	$1.9K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Thomas Chaly	AZ	Transplant Surgery Physician	$51.6K	$0
Larry Kraiss	UT	Vascular Surgery Physician	$51.2K	$0
Paul Campsen	UT	Transplant Surgery Physician	$37.3K	$0
Benjamin Brooke	UT	Vascular Surgery Physician	$29.7K	$0
Mark Sarfati	UT	Vascular Surgery Physician	$29.1K	$0
Daniel Vargo	UT	Trauma Surgery Physician	$19.5K	$0
Claire Griffin	NH	Surgery Physician	$8.8K	$0
Brigitte Smith	WI	Vascular Surgery Physician	$6.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dr John Foley LLC	UT	Neurology Physician	$0	$3.9M
Ihc Health Services Inc	UT	Rehabilitation Clinic/Center	$0	$2.5M
Diana Banks	UT	Neurology Physician	$1.6M	$0
John Foley	UT	Neurology Physician	$789.8K	$608K
April Erwin	UT	Neurology Physician	$1.2M	$0
Ihc Health Services Inc	UT	Psychiatry Physician	$0	$830.1K
Timothy West	UT	Neurology Physician	$664.5K	$0
Shriners Hospitals For Children	UT	Children's Hospital	$0	$605.5K
Viktoria Kaplan	UT	Neurology Physician	$517.8K	$0
Daniel Preece	UT	Foot & Ankle Surgery Podiatrist	$267.1K	$0

Teresa Reading — Billing Profile & Reimbursement Data

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Teresa Reading — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References