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

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

Rachel Gillespie (NPI 1063968618)

Field	Value
Entity Type	Individual
Organization	Rachel Gillespie
Address	1200 W 12 Mile Rd
City	Madison Heights
State	MI
ZIP	48071
Taxonomy	Podiatrist
NPI Enumerated	September 1, 2016

Payer Source	Total Paid
Medicare	$24.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	150	$70	$10K
11721	The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.	140	$40	$5K
11305	The provider shaves off a single epidermal or dermal lesion of 0.5 cm or less in diameter from the scalp, neck, hands, feet, or genitals.	50	$70	$3.7K
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	$80	$1.9K
73630	In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.	50	$30	$1.5K
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…	10	$100	$1.1K
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,…	20	$50	$1.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Michigan Distribution

Rachel Gillespie — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
11721	370	550	270	$30	$12.7K
99213	3,440	14,810	60	$60	$6.6K
11305	9	20	40	$70	$4.9K
99204	5,677	6,280	30	$110	$4.2K
99203	2,696	4,560	30	$70	$3K
99212	1,638	2,750	30	$40	$2K
73630	499	1,060	40	$20	$1.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jeffrey Margolis	MI	Hematology & Oncology Physician	$3M	$0
Faisal Musa	MI	Hematology & Oncology Physician	$3M	$0
Richard Zekman	MI	Medical Oncology Physician	$1.4M	$0
Ishmael Jaiyesimi	MI	Hematology & Oncology Physician	$1.3M	$0
Savitha Balaraman	MI	Medical Oncology Physician	$1.1M	$0
Matthew Cotant	MI	Hematology & Oncology Physician	$1.1M	$0
Samer Ballouz	MI	Hematology & Oncology Physician	$1.1M	$0
Mohammed Ibrahim	MI	Hematology & Oncology Physician	$821.5K	$0
Ayham Al Ashkar	MI	Medical Oncology Physician	$819.8K	$0
John Antonucci	MI	Radiation Oncology Physician	$786.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northwood Inc	MI	Durable Medical Equipment & Medical Supplies	$0	$39.5M
Henry Ford Health Macomb Oakland Hospital	MI	General Acute Care Hospital	$0	$24.8M
Sacred Heart Rehabilitation Center, Inc	MI	Community/Behavioral Health Agency	$206.2K	$11.1M
William Beaumont Hospital	MI	Home Health Agency	$0	$5.3M
Clinical Connect Laboratories, LLC	MI	Clinical Medical Laboratory	$1.4M	$3.8M
Db Labs LLC	MI	Clinical Medical Laboratory	$144.9K	$3.1M
Gary Langnas	MI	Internal Medicine Physician	$493.6K	$0
James Kohlenberg	MI	Internal Medicine Physician	$323.5K	$0
Ryan Chartrand	MI	Urology Physician	$233.7K	$0
Vikram Narula	MI	Physical Medicine & Rehabilitation Physician	$165K	$0

Rachel Gillespie — Billing Profile & Reimbursement Data

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Rachel Gillespie — 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