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

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

Kathleen Moore (NPI 1053573717)

Field	Value
Entity Type	Individual
Organization	Kathleen Moore
Address	915 Olentangy River Rd Ste 4000
City	Columbus
State	OH
ZIP	43212
Taxonomy	Adult Health Nurse Practitioner
NPI Enumerated	June 25, 2008

Payer Source	Total Paid
Medicare	$23.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	100	$100	$9.8K
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…	70	$80	$5.7K
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…	60	$50	$3.1K
92504	In this diagnostic procedure, the provider uses a microscope to examine the ears of a patient. He may also sometimes examine the patient’s nose for direct visualization to help with diagnosis…	150	$20	$2.6K
69210	The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.	50	$30	$1.3K
99203	The provider sees a new 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 provider…	20	$60	$900

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Ohio Distribution

Kathleen Moore — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	11,946	20,010	100	$70	$11.7K
99213	11,303	20,000	70	$50	$6.6K
99204	618	8,330	30	$100	$4.4K
99203	5,030	6,380	30	$60	$2.9K
69210	203	450	40	$30	$2.3K
92504	8	80	40	$10	$880

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Osu Internal Medicine, LLC	OH	Internal Medicine Physician	$0	$28M
Subinoy Das	OH	Otolaryngology Physician	$382.8K	$0
Abraham Jacob	AZ	Otology & Neurotology Physician	$211.6K	$0
Ryan Hendricker	NC	Otolaryngology Physician	$180.5K	$0
Liuba Soldatova	SC	Otolaryngology Physician	$167.7K	$0
Kelsey Jansen	IN	Physician Assistant	$166.2K	$0
Kiran Kakarala	KS	Otolaryngology Physician	$152.5K	$0
Jameson Mattingly	TN	Otology & Neurotology Physician	$117.5K	$0
Ian Alexander	TX	Otolaryngology Physician	$111.9K	$0
Thomas Mauger	WV	Ophthalmology Physician	$94.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Osu Histology Lab LLC	OH	Clinical Medical Laboratory	$373.1K	$1.4M
Amit Tandon	OH	Ophthalmology Physician	$320.9K	$0
Larry Todd	OH	Orthopaedic Surgery of the Spine Physician	$233.1K	$0
Mark Slabaugh	OH	Glaucoma Specialist (Ophthalmology) Physician	$197.9K	$0
Ian Valerio	OH	Plastic Surgery Physician	$188.2K	$0
Matthew Ohr	OH	Retina Specialist (Ophthalmology) Physician	$144.2K	$0
Benjamin Tweel	OH	Otolaryngology Physician	$121.2K	$16.2K
Flexsus LLC	OH	Clinical Medical Laboratory	$5.7K	$96.1K
Fatoumata Yanoga	OH	Retina Specialist (Ophthalmology) Physician	$101.3K	$0
Sachin Jhawar	OH	Radiation Oncology Physician	$99.3K	$0

Kathleen Moore — Billing Profile & Reimbursement Data

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Kathleen Moore — 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