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

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

Michelle Reed (NPI 1043753973)

Field	Value
Entity Type	Individual
Organization	Michelle Reed
Address	2500 Bernville Rd
City	Reading
State	PA
ZIP	19605
Taxonomy	Family Nurse Practitioner
NPI Enumerated	November 25, 2016

Payer Source	Total Paid
Medicare	$51.2K
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
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…	170	$120	$20.6K
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…	190	$50	$10.3K
99350	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…	90	$110	$9.4K
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…	80	$80	$6.8K
99498	The provider or other healthcare professional performs advanced care planning beyond an initial 30 minutes. The provider discusses and shares planning for the future health care needs of the patient…	90	$50	$4.3K

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. Pennsylvania Distribution

Michelle Reed — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99350	97	300	50	$120	$12.5K
99233	2,989	6,630	70	$90	$12K
99223	396	7,020	40	$130	$7.8K
99497	60	920	40	$60	$4K
99498	6	90	20	$50	$1.7K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Holcomb Associates, Inc.	PA	Clinic/Center	$0	$20.1M
Holcomb Associates, Inc.	PA	Community/Behavioral Health Agency	$0	$11.1M
Main Line Healthcare	PA	Family Medicine Physician	$0	$8.2M
St. Joseph Medical Group	PA	Family Medicine Physician	$0	$7.2M
Pejman Rohani	MD	Vascular Surgery Physician	$1M	$0
Grand View Hospital	PA	Ambulance	$481.8K	$131.7K
Paul Marcotte	PA	Neurological Surgery Physician	$509K	$0
Bruce Klugherz	PA	Cardiovascular Disease Physician	$425.7K	$0
Paul Weidner	PA	Orthopaedic Surgery Physician	$393K	$0
M Seplow	NJ	Psychiatry Physician	$383.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Joseph Regional Health Network	PA	General Acute Care Hospital	$0	$27.8M
Steven Chmielewski	PA	Diagnostic Radiology Physician	$282.2K	$0
Christopher Testa	PA	Diagnostic Radiology Physician	$278.7K	$0
Atif Qureshi	PA	Internal Medicine Physician	$115.6K	$0
Peter Christ	PA	Clinical Pathology/Laboratory Medicine Physician	$109.5K	$0
Warqaa Majeed	PA	Neurology Physician	$105.2K	$0
Harold Einsig	PA	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$75.2K	$0
Jie Zhu	PA	Interventional Pain Medicine Physician	$56.1K	$0
Karen Gurski	PA	Specialist	$33.6K	$0
Christopher Kuennen	PA	Certified Registered Nurse Anesthetist	$25.7K	$0

Michelle Reed — Billing Profile & Reimbursement Data

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Michelle Reed — 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