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

Why is the Medicaid comparison limited to South Dakota 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. South Dakota (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.

Cynthia Boltz (NPI 1083915789)

Field	Value
Entity Type	Individual
Organization	Cynthia Boltz
Address	109 Pugh St
City	Martin
State	SD
ZIP	57551
Taxonomy	Family Nurse Practitioner
NPI Enumerated	November 11, 2010

Payer Source	Total Paid
Medicare	$398.6K
Medicaid	$0

Key Findings

CYNTHIA BOLTZ is a Family Nurse Practitioner based in MARTIN, SD with an NPI enumerated 2010-11-11 (~16 years ago), indicating a long-tenured billing presence in Medicare over more than a decade. This tenure suggests established clinical relationships and billing workflows despite the narrow service mix shown in claims data.

This provider’s lifetime Medicare revenue is $398.6K while there is no Medicaid billing on file, so the practice is effectively single-payer in the available dataset with all documented public-payer activity tied to Medicare. The absence of Medicaid suggests limited or no engagement with state Medicaid fee-for-service billing during the recorded period.

Revenue is highly concentrated: the precomputed top-3 Medicare codes account for 100.0% of this provider's total Medicare revenue. That level of concentration indicates the provider’s Medicare financial performance depends almost entirely on a very small set of services rather than a diversified CPT mix.

The single Medicare revenue-driving code on file is L8679, which denotes an implantable neurostimulator pulse generator. Heavy reliance on L8679 implies the provider’s clinical/business activity centers on neuromodulation device services—such as device supply, implant support, programming, or device follow-up—rather than broad primary-care encounters.

At the code level, L8679 shows 59 claims with an $6756 avg paid/claim producing $398.6K in Medicare revenue, which is listed as 100.0% of this provider’s Medicare revenue. These exact figures indicate a relatively small claim count but high per-claim payment, meaning revenue is driven by the high unit value of the billed service rather than volume.

Competitive standing for L8679 is modestly strong nationally: the provider ranks #3 of 9 providers nationally and sits at the 75th percentile, described in the data as "typical, unremarkable volume for this code." This placement signals a meaningful but not dominant national position—above median activity among peers but not an outlier at the top of the market.

Operationally, the combination of a single high-dollar code and no Medicaid billing suggests revenue sensitivity: changes to Medicare coverage, reimbursement for L8679, or reductions in device-related referrals could materially affect the provider’s billed revenue. Analysts should view this profile as high-dependency on neuromodulation-related Medicare reimbursements rather than a diversified payer or service portfolio.

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
L8679	Implantable neurostimulator, pulse generator, any type	60	$6,760	$398.6K

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. South Dakota Distribution

Cynthia Boltz — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Dakota

Full comparison — all codes billed, vs. state median

1 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
L8679	1	10	60	$6,760	$398.6K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Horizon Health Care Inc.	SD	Federally Qualified Health Center (FQHC)	$0	$3.3M
Bennett County Hospital And Nursing Home	SD	Critical Access Hospital	$0	$1.3M
Pine Ridge Indian Health Service Hospital	SD	Clinic/Center	$0	$862.1K
Bennett County Rural Health Clinic	SD	Rural Health Clinic/Center	$0	$450.7K
Bennett County Hospital And Nursing Home	SD	Land Ambulance	$50.6K	$390.7K
Horizon Health Care, Inc	SD	Dental Clinic/Center	$0	$149.6K

Cynthia Boltz — Billing Profile & Reimbursement Data

Sign up for Cynthia Boltz — Billing Profile & Reimbursement Data policy alerts

Cynthia Boltz — Billing Profile & Reimbursement Data

Sign up for Cynthia Boltz — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References