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

Why is the Medicaid comparison limited to New York 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. New York (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.

Kathryn Mertz (NPI 1073702247)

Field	Value
Entity Type	Individual
Organization	Kathryn Mertz
Address	423 Sussex Rd
City	East Meadow
State	NY
ZIP	11554
Taxonomy	Clinical Social Worker
NPI Enumerated	October 23, 2007

Payer Source	Total Paid
Medicare	$17.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	240	$60	$13.7K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	50	$40	$2.2K
98968	A nonphysician qualified healthcare professional discusses, via telephone, a health issue and possible treatment or management with an established patient, parent, or guardian. This service includes…	70	$20	$1.3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New York Distribution

Kathryn Mertz — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90834	647	1,320	240	$70	$23.7K
90832	600	760	120	$50	$17K
98968	4	10	120	$20	$2.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nassau Health Care Corporation	NY	General Acute Care Hospital	$0	$42.1M
Sports Physical Therapy Occupational Therapy And Rehabilitation Servic	NY	Hand Physical Therapist	$0	$25.4M
County Of Nassau County Controller	NY	Mental Health Clinic/Center (Including Community Mental Health Center)	$344.6K	$8.4M
Christopher Calapai	NY	Family Medicine Physician	$1.9M	$380
Michael Drabkin	NY	Vascular & Interventional Radiology Physician	$1.1M	$1.8K
Jay Purvin	NY	Podiatrist	$345.3K	$178K
Jason Lipetz	NY	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$466.3K	$0
Albert Ferrara	NY	Internal Medicine Physician	$422.6K	$21.1K
Genia Bekker	NY	Obstetrics & Gynecology Physician	$283.9K	$100K
Michael Schwartz	NY	Sports Medicine (Orthopaedic Surgery) Physician	$343.4K	$0

Kathryn Mertz — Billing Profile & Reimbursement Data

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Kathryn Mertz — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References