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

Why is the Medicaid comparison limited to New Jersey 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. New Jersey (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.

Mildred Mcgrath (NPI 1043361793)

Field	Value
Entity Type	Individual
Organization	Mildred Mcgrath
Address	400 Valley Rd
City	Mount Arlington
State	NJ
ZIP	07856
Taxonomy	Adult Health Nurse Practitioner
NPI Enumerated	January 16, 2007

Payer Source	Total Paid
Medicare	$6.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
93016	The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…	450	$10	$6.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Jersey Distribution

Mildred Mcgrath — 1 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. state median

1 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93016	8	410	50	$20	$1.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Caring Partners Of Morris Sussex, Inc.	NJ	Case Manager/Care Coordinator	$0	$47.7M
Jeffrey Aroesty	NJ	Otolaryngology Physician	$416.4K	$0
Barry Lowell	NJ	Cardiovascular Disease Physician	$346.4K	$0
Rhuna Shen	NJ	Cardiovascular Disease Physician	$303.8K	$0
Michael Mantinaos	NJ	Diagnostic Radiology Physician	$261.7K	$0
Austin Ferrier	NJ	Cardiovascular Disease Physician	$246.2K	$0
Gerald Tramontano	NJ	Clinical Neuropsychologist	$244K	$0
Kristen Redner	NJ	Occupational Therapist	$148.1K	$0

Mildred Mcgrath — Billing Profile & Reimbursement Data

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Mildred Mcgrath — 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