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

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

Marcella Hardy (NPI 1073265013)

Field	Value
Entity Type	Individual
Organization	Marcella Hardy
Address	6400 New Dutchman's Parkway
City	Louisville
State	KY
ZIP	40205
Taxonomy	Family Nurse Practitioner
NPI Enumerated	January 20, 2022

Payer Source	Total Paid
Medicare	$69.6K
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
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	680	$80	$52.3K
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	$120	$10.4K
99344	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider spends at least…	40	$90	$3.5K
G0180	Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review…	50	$30	$1.5K
G0179	Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and…	40	$30	$980
99348	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…	20	$50	$960

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. Kentucky Distribution

Marcella Hardy — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99349	5	190	110	$70	$13.8K
99350	22	80	50	$110	$9.2K
99348	106	130	50	$50	$4.1K
99344	13	70	20	$90	$2.4K
G0179	17	60	30	$30	$1.3K
G0180	21	250	20	$40	$1.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ruth Gay Lawton	KY	Gerontology Nurse Practitioner	$83.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dreams With Wings, Inc	KY	Behavior Analyst	$0	$20.1M
The Princecare Group	KY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$19M
Hosparus Inc.	KY	Community Based Hospice Care Agency	$0	$10.1M
Dental Surgicenter Of Louisville LLC	KY	Ambulatory Surgical Clinic/Center	$0	$8.4M
Thomas Stone	KY	Retina Specialist (Ophthalmology) Physician	$2.5M	$520
Norton Hospitals Inc	KY	Land Ambulance	$791.2K	$77.1K
Andrew West	KY	MOHS-Micrographic Surgery Physician	$713.9K	$0
Tariq Muhammad	KY	Nephrology Physician	$245.5K	$189K
Casey Johnson	KY	Ophthalmology Physician	$284.1K	$0
Ramsey Nassar	KY	Nephrology Physician	$253.9K	$0

Marcella Hardy — Billing Profile & Reimbursement Data

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Marcella Hardy — 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