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

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

Lois Wilkins (NPI 1083710925)

Field	Value
Entity Type	Individual
Organization	Lois Wilkins
Address	719 Massachusetts St
City	Lawrence
State	KS
ZIP	66044
Taxonomy	Psychiatric/Mental Health Nurse Practitioner
NPI Enumerated	September 16, 2006

Payer Source	Total Paid
Medicare	$60.9K
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
90838	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient in addition to an evaluation and management service in the…	400	$70	$29.3K
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…	380	$80	$29.3K
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…	20	$100	$2.5K

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. Kansas Distribution

Lois Wilkins — 1 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kansas

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	807	4,310	120	$70	$16.4K
90838	1	10	60	$70	$12.3K
99215	959	1,350	40	$100	$8.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bert Nash Community Mental Health Center Inc	KS	Community/Behavioral Health Agency	$0	$28.8M
Oral Surgery Kansas, Lc	KS	Oral and Maxillofacial Surgery (Dentist)	$0	$19.1M
Bert Nash Community Mental Health Center Inc	KS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$15.7M
Heartland Medical Clinic, Inc	KS	Federally Qualified Health Center (FQHC)	$0	$11.4M
Heartland Medical Clinic, Inc.	KS	Federally Qualified Health Center (FQHC)	$0	$8M
Lawrence Memorial Hospital	KS	General Acute Care Hospital	$0	$5.3M
Pediatric & Adolescent Medicine P.A.	KS	Pediatrics Physician	$0	$2.4M
Lawrence Pediatric Dentistry LLC	KS	Pediatric Dentistry	$0	$1.9M
Robert Gollier	KS	Dentist	$0	$1.5M
Benjamin Slane	KS	Radiation Oncology Physician	$1.1M	$0

Lois Wilkins — Billing Profile & Reimbursement Data

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Lois Wilkins — 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