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

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

Denae Mcclure (NPI 1104549278)

Field	Value
Entity Type	Individual
Organization	Denae Mcclure
Address	2900 12th Ave N Ste 140w
City	Billings
State	MT
ZIP	59101
Taxonomy	Physician Assistant
NPI Enumerated	September 22, 2022

Payer Source	Total Paid
Medicare	$4.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	30	$80	$2.3K
64718	In this procedure, the provider uses an open approach to incise scar tissue or other sources of pressure to relieve tension on the ulnar nerve at the elbow, which an injury or swelling within the…	20	$70	$1.3K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	10	$60	$660
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	60	$1	$60

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Montana Distribution

Denae Mcclure — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,537	1,810	100	$70	$12.4K
99213	1,721	1,730	90	$50	$7.2K
64718	4	10	20	$390	$7.1K
J3301	115	130	150	$1	$300

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Great Falls Clinic LLC	MT	Multi-Specialty Clinic/Center	$0	$11.2M
Brandon Mccafferty	MN	Ophthalmology Physician	$1.2M	$0
Ortho Montana, Psc	MT	Orthopaedic Surgery Physician	$0	$1M
Thucanh Multerer	PA	Retina Specialist (Ophthalmology) Physician	$862.9K	$139.4K
Laura Lennon	NY	Cardiovascular Disease Physician	$502.9K	$34.3K
Zachary Scheer	MT	Orthopaedic Surgery Physician	$379.2K	$0
Michael Groover	MT	Adult Reconstructive Orthopaedic Surgery Physician	$370.4K	$0
Ruslan Soldyshev	MT	Nephrology Physician	$229.5K	$0
Steven Klepps	MT	Orthopaedic Surgery Physician	$224.9K	$0
Anthony Roccisano	MT	Orthopaedic Surgery of the Spine Physician	$214.1K	$0

Denae Mcclure — Billing Profile & Reimbursement Data

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Denae Mcclure — 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