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.

Erika Hopkins (NPI 1083245807)

Field	Value
Entity Type	Individual
Organization	Erika Hopkins
Address	2825 Veron Ln
City	Twinsburg
State	OH
ZIP	44087
Taxonomy	Physician Assistant
NPI Enumerated	January 30, 2020

Payer Source	Total Paid
Medicare	$2.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
38790	In this procedure, the provider injects the lymphatic ducts for examination. The provider performs a two stage lymphangiography, a procedure in which he first injects a dye into the lymphatic ducts…	30	$80	$2.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Ohio Distribution

Erika Hopkins — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
38790	2	10	30	$70	$2.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rgh Enterprises, LLC	OH	Durable Medical Equipment & Medical Supplies	$4.4M	$424.8M
Ameripath Cleveland Inc	OH	Clinical Medical Laboratory	$640.4K	$749.4K
Monique Cohn	OH	Dermatology Physician	$135.6K	$0
Emily Wasko	OH	Podiatrist	$98.1K	$0
Nalini Corpora	OH	Optometrist	$84.4K	$3.6K
Eric Trattner	OH	Podiatrist	$39.6K	$0
Nazmine Deol	OH	Family Medicine Physician	$11.9K	$0

Erika Hopkins — Billing Profile & Reimbursement Data

Sign up for Erika Hopkins — Billing Profile & Reimbursement Data policy alerts

Erika Hopkins — Billing Profile & Reimbursement Data

Sign up for Erika Hopkins — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References