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.

Hailey Wallace (NPI 1104305432)

Field	Value
Entity Type	Individual
Organization	Hailey Wallace
Address	930 Bethel Rd
City	Columbus
State	OH
ZIP	43214
Taxonomy	Certified Registered Nurse Anesthetist
NPI Enumerated	August 8, 2018

Payer Source	Total Paid
Medicare	$1.3K
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
00160	The provider performs anesthesia services for a patient undergoing procedures on the nose and accessory sinuses, hollow chambers in the skull that open into the nasal cavity. Use this code when there…	20	$80	$1.3K

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

Hailey Wallace — 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
00160	5	10	20	$80	$1.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ralph Farina	OH	Anesthesiology Physician	$2.1K	$0
Melanie George	OH	Pediatric Anesthesiology Physician	$1.7K	$0
Andreas Schuster	OH	Anesthesiology Physician	$1.6K	$0
Joan Bohon	OH	Certified Registered Nurse Anesthetist	$1.2K	$0

Hailey Wallace — Billing Profile & Reimbursement Data

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Hailey Wallace — 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

Frequently Asked Questions

References