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

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

Rachel Hart (NPI 1104192889)

Field	Value
Entity Type	Individual
Organization	Rachel Hart
Address	4950 Norton Healthcare Blvd Ste 305
City	Louisville
State	KY
ZIP	40241
Taxonomy	Geriatric Medicine (Internal Medicine) Physician
NPI Enumerated	March 28, 2012

Payer Source	Total Paid
Medicare	$77.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99205	The provider sees a new 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 provider…	230	$140	$32.7K
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…	280	$80	$23K
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…	110	$120	$13.2K
99483	The provider performs a thorough assessment of a cognitively impaired patient’s understanding, comprehension, memory, and reasoning; obtains a history; reviews the patient’s medication lists and…	50	$190	$8.6K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	40	$10	$290

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Kentucky Distribution

Rachel Hart — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,538	7,230	110	$70	$14.1K
99215	161	1,440	30	$110	$6.3K
99483	3	10	20	$180	$6.3K
99205	1	590	20	$140	$4.4K
36415	776	1,040	100	$10	$1.7K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Thomas Hull	OH	Retina Specialist (Ophthalmology) Physician	$2.6M	$0
Patricia Hansen	KY	Internal Medicine Physician	$2.6M	$0
Jennifer Teeter	IN	Sports Medicine (Family Medicine) Physician	$1.2M	$0
Robin Curry	KY	Sports Medicine (Family Medicine) Physician	$628.2K	$0
Donald Stephens	OH	Retina Specialist (Ophthalmology) Physician	$405.2K	$11.8K
John Lindner	IN	Orthopaedic Surgery Physician	$369.4K	$0
Jignesh Desai	KY	Internal Medicine Physician	$361.7K	$0
Joseph Greene	KY	Orthopaedic Surgery Physician	$299.9K	$0
Waqar Saleem	KY	Hospice and Palliative Medicine (Family Medicine) Physician	$288.5K	$0
Loritz Chavez	WI	Hospitalist Physician	$158.5K	$121.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Medical Associates, Inc.	KY	Internal Medicine Physician	$0	$135.1M
Norton Childrens Medical Group, LLC	KY	Pediatrics Physician	$0	$107.3M
Community Medical Associates, Inc.	KY	Multi-Specialty Clinic/Center	$0	$49M
Motc - Louisville LLC	KY	Prosthetic/Orthotic Supplier	$0	$5.4M
Gml Pain Md Psc	KY	Durable Medical Equipment & Medical Supplies	$0	$3.9M
Jacob Yunker	KY	Ophthalmology Physician	$3.8M	$0
Thomas Harper	KY	Ophthalmology Physician	$3.3M	$0
Aspire Case Management LLC	KY	Case Management Agency	$0	$3.2M
Victor Neamtu	KY	Ophthalmology Physician	$1.5M	$980
Michael Mccall	KY	Dermatology Physician	$938.6K	$0

Rachel Hart — Billing Profile & Reimbursement Data

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Rachel Hart — 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