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

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

Denise Valentine (NPI 1073536876)

Key Findings

Field	Value
Entity Type	Individual
Organization	Denise Valentine
Address	3841 Piper St
City	Anchorage
State	AK
ZIP	99508
Taxonomy	Family Nurse Practitioner
NPI Enumerated	July 25, 2006

Payer Source	Total Paid
Medicare	$543K
Medicaid	$0

This provider’s billed Medicare footprint is modest in dollar terms but concentrated: total Medicare revenue is $543K and there is no Medicaid billing on file, so the practice operates effectively as a single-payer (Medicare) billing entity in the available data. The absence of any Medicaid revenue means Medicaid-related market positioning or participation cannot be assessed from claims data.

Revenue is highly concentrated in a small set of device-monitoring codes: the precomputed top 3 Medicare codes by revenue account for 60.2% of this provider's total Medicare revenue, led by G2066 ($156.2K, 28.7%), followed by 93294 ($85.9K, 15.8%), and 93296 ($85K, 15.6%). This concentration indicates financial dependence on a narrow set of services rather than a broad mix of primary care E/M work.

The CPT/HCPCS mix indicates the operation is specialized in remote and in-person cardiac device management rather than general primary-care visits: high-revenue items include G2066 (implantable loop recorder remote interrogation), 93294 (physician remote analysis up to 90 days), and multiple device-adjustment/management codes such as 93280 and 93284 that describe face-to-face device reprogramming and follow-up. The presence of 93296 (the technical component: technician data-gathering) alongside physician review codes (93294, 93295, 93297) implies a workflow that combines technician-led data collection with clinician interpretation.

Several device-related codes show national-level dominance or unusually high volume: 93294 ranks #1 of 7466 providers nationally (100th percentile; extreme outlier, far above typical national volume for this code) and 93296 ranks #13 of 4996 providers nationally (100th percentile; notably above typical national volume for this code). Additional codes with extreme standing include 93280 (rank #13 of 8070, 100th percentile) and 93281 (rank #4 of 1394, 100th percentile), which together indicate this provider is a major national participant in multiple device-management services.

Operational scale is characterized by high claim counts with relatively low per-claim payments: example volumes include 93296 at 4.5K claims ($19 avg paid/claim), 93294 at 3.4K claims ($25 avg paid/claim), and G2066 at 2.8K claims ($56 avg paid/claim). Those high claim volumes drive the $543K Medicare total despite average paid amounts per claim that are modest, consistent with an intensive monitoring/remote-service throughput model.

The combination of heavy reliance on a few device-monitoring codes (top 3 = 60.2% of revenue) and zero Medicaid billing highlights both a business concentration and a payer-concentration exposure: reimbursement changes or shifts in utilization for these device codes could materially affect this provider’s Medicare revenue stream. The lack of Medicaid activity also limits diversification across public payers.

Provider tenure and credentialing context: NPI enumerated 2006-07-25 (~20 years ago) and taxonomy is Family Nurse Practitioner, indicating long-standing enrollment in Medicare. Despite the FNP taxonomy, the billing profile reflects a developed niche in cardiac device services, suggesting the clinician has established a specialized operational role over time.

Beyond the top 3, several additional device-management codes also sit at high national percentiles (for example, 93297 ranks #14 of 2651, 93295 ranks #15 of 4938, and 93284 ranks #25 of 3189), demonstrating depth across both remote monitoring and in-person device adjustment services. This spread of high-percentile rankings across multiple related codes reinforces that the provider’s competitive standing is concentrated in cardiac device care rather than dispersed across general outpatient services.

Medicare: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G2066	Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system,…	2,790	$60	$156.2K
93294	The provider, a physician or other qualified health care professional, remotely analyzes, for a period up to 90 days, the function of a single, dual, multiple lead, or leadless pacemaker system,…	3,440	$30	$85.9K
93296	The technician gathers data, for a period of up to 90 days, from a patient’s single, dual, multiple lead, or leadless pacemaker system or implantable defibrillator system by remotely accessing the…	4,470	$20	$85K
93280	In this service, the provider performs a face to face evaluation and then optimally adjusts the existing parameters of an already implanted dual lead pacemaker system. He changes various operating…	780	$60	$46.7K
93297	The provider, who is a physician or other qualified healthcare professional, evaluates the physiologic data from the implantable physiologic cardiovascular monitoring system during a period of up 30…	1,850	$20	$40.7K
93295	In this service the provider evaluates from a remote location an implantable single, dual, or multiple lead defibrillator system. The service includes his interim analyses during a period of up to 90…	1,040	$30	$33.4K
93298	The provider, who is a physician or other qualified healthcare professional, evaluates the data from a previously implanted subcutaneous cardiac rhythm monitor system via telemetric communication for…	950	$20	$20.8K
93281	In this service, the provider performs a face to face evaluation and then optimally adjusts the existing parameters of an already implanted multiple lead pacemaker system. He changes various…	260	$70	$17.6K
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…	170	$100	$16.3K
93284	In this service, the provider performs a face to face evaluation and then optimally adjusts the existing parameters of various operating functions of an already implanted multiple lead defibrillator…	190	$80	$15.8K

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Denise Valentine — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G2066	1	10	930	$60	$85.5K
93296	1	10	760	$20	$26.1K
93297	1	10	600	$20	$22K
93294	1	10	220	$20	$20.4K
99214	363	1,210	90	$100	$16.2K
93280	1	10	40	$60	$12K
93295	1	10	180	$30	$9.9K
93284	1	10	90	$80	$9.3K
93281	1	10	130	$60	$8.2K
93298	1	10	170	$20	$6.4K