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.

Kirsten Upton (NPI 1083156459)

Field	Value
Entity Type	Individual
Organization	Kirsten Upton
Address	1975 Miamisburg Centerville Rd
City	Centerville
State	OH
ZIP	45459
Taxonomy	Physician Assistant
NPI Enumerated	November 16, 2016

Payer Source	Total Paid
Medicare	$48K
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
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…	340	$70	$24.6K
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…	260	$50	$12.6K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	40	$110	$4.5K
96132	The provider, a physician or other qualified healthcare professional, spends up to one hour administering neuropsychological tests, which includes time spent face–to–face with the patient in…	40	$70	$2.4K
95983	The provider, a physician or other qualified healthcare professional, analyzes the function of a brain neurostimulator system and makes programming adjustments requiring up to 15 minutes of…	70	$30	$1.9K
95984	The provider, a physician or other qualified healthcare professional, continues to analyze the function of a brain neurostimulator system and make programming adjustments face–to–face with the…	70	$20	$1.7K
96138	A technician administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of administration and scoring by any method.	20	$20	$300

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. Ohio Distribution

Kirsten Upton — 0 of 7 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

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	2,500	20,010	100	$70	$11.7K
99213	2,353	20,000	70	$50	$6.6K
99215	1,872	4,950	30	$110	$5.9K
96132	57	90	50	$90	$5.2K
95984	7	10	70	$30	$2.6K
95983	4	20	40	$30	$1.6K
96138	43	50	30	$20	$1.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Trihealth G LLC	OH	Internal Medicine Physician	$0	$31M
Trihealth H LLC	OH	Obstetrics Physician	$0	$12.5M
Kelleen Graver	OH	Nurse Practitioner	$2.1M	$0
Peter Fried	OH	Radiation Oncology Physician	$904.7K	$0
Syed Akbar	IL	Diagnostic Radiology Physician	$280.8K	$223.7K
Bal Srivastava	OH	Cardiovascular Disease Physician	$384.6K	$0
Gregory Delorenzo	OH	Rheumatology Physician	$377.9K	$0
Timothy Schoonover	OH	Neurology Physician	$356.8K	$0
John Peck	OH	Urology Physician	$355.7K	$0
Rachel Hunter	OH	Hospitalist Physician	$348.7K	$4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tri Star Scientific Inc.	OH	PACE Provider Organization	$0	$17.6M
Crn Healthcare, Inc.	OH	Community/Behavioral Health Agency	$0	$15M
Compassus Op Of Ohio LLC	OH	Community Based Hospice Care Agency	$0	$8.2M
Six Roses Home Health Care	OH	Home Health Clinical Nurse Specialist	$0	$7.5M
Dermatopathology Laboratory Of Central States	OH	Clinical Medical Laboratory	$3.1M	$1.8M
Surgery Center At Corporate Way LLC	OH	Ambulatory Surgical Clinic/Center	$1.7M	$326.8K
Digestive Endoscopy Center LLC	OH	Ambulatory Surgical Clinic/Center	$623.5K	$872.5K
David Key	OH	Urology Physician	$520.8K	$0
Amol Soin	OH	Interventional Pain Medicine Physician	$352.6K	$0
Mark Monsour	OH	Urology Physician	$298.1K	$0

Kirsten Upton — Billing Profile & Reimbursement Data

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Kirsten Upton — 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