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

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

Paola Buchanan (NPI 1104423482)

Field	Value
Entity Type	Individual
Organization	Paola Buchanan
Address	15 Old West Elm St
City	Pembroke
State	MA
ZIP	02359
Taxonomy	Adult Health Nurse Practitioner
NPI Enumerated	October 8, 2020

Payer Source	Total Paid
Medicare	$120.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	720	$70	$51.6K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	910	$50	$46.3K
99316	The provider sees a patient for nursing facility discharge management requiring more than 30 minutes.	110	$90	$9.9K
99315	The provider sees a patient for nursing facility discharge management requiring 30 minutes or less.	120	$60	$6.7K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	30	$110	$3.3K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	40	$50	$2.2K
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	50	$30	$1.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Massachusetts Distribution

Paola Buchanan — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	198	840	300	$80	$37.8K
99308	81	750	170	$50	$20.5K
99310	380	510	80	$110	$15.4K
99316	49	280	40	$90	$5.7K
99497	294	690	40	$70	$4.1K
99307	119	240	50	$30	$3.8K
99315	10	110	30	$60	$3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
John Stevenson	MA	Internal Medicine Physician	$390.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tmed Holdings, Inc.	MA	Durable Medical Equipment & Medical Supplies	$0	$69.7M
New England Village Inc	MA	Developmentally Disabled Services Day Training Agency	$0	$8.8M
Town Of Pembroke	MA	Ambulance	$450.4K	$732.5K
Nicole Wood	MA	Family Medicine Physician	$419.7K	$0
Aniket Chakrabarti	MA	Internal Medicine Physician	$208.4K	$122.2K
Mark Lembo	MA	Physical Therapist	$166.9K	$0

Paola Buchanan — Billing Profile & Reimbursement Data

Sign up for Paola Buchanan — Billing Profile & Reimbursement Data policy alerts

Paola Buchanan — Billing Profile & Reimbursement Data

Sign up for Paola Buchanan — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References