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.

Betty Gwinn-hall (NPI 1114076148)

Field	Value
Entity Type	Individual
Organization	Betty Gwinn-hall
Address	311 S 15th St Ste 102
City	Coshocton
State	OH
ZIP	43812
Taxonomy	Women's Health Nurse Practitioner
NPI Enumerated	January 9, 2007

Payer Source	Total Paid
Medicare	$9.8K
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…	50	$80	$3.7K
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…	80	$50	$3.4K
51701	In this procedure, the provider places a non–indwelling catheter into the bladder via the urethra for the purpose of intermittent catheterization or catheterization to obtain residual urine left…	60	$30	$1.7K
57150	In this procedure, the provider washes out the vaginal canal and may also instill medication when the patient has a bacterial, fungal, or parasitic disease.	30	$30	$960

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. Ohio Distribution

Betty Gwinn-hall — 0 of 4 codes 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

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	14,023	20,010	100	$70	$11.7K
99213	9,532	20,000	70	$50	$6.6K
57150	10	10	70	$30	$2.1K
51701	24	70	30	$30	$1.8K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Betty Gwinn-hall, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
North Central Ohio Family Care Center, Inc	OH	Specialist	$0	$15.3M
Genesis Medical Group LLC	OH	General Practice Physician	$0	$15.2M
Prime Healthcare Foundation - Coshocton, LLC	OH	General Acute Care Hospital	$0	$13.3M
Genesis Primary Care Physicians LLC	OH	Family Medicine Physician	$0	$7.1M
Levent Akduman	MO	Ophthalmology Physician	$3.1M	$1.4M
Phu Tran	FL	Hematology & Oncology Physician	$1.2M	$10.9K
Shaun Bhatty	OH	Clinical Cardiac Electrophysiology Physician	$341.6K	$0
Benjamin Martin	OH	Urology Physician	$299.7K	$0
Meisam Moghbelli	WI	Cardiovascular Disease Physician	$290K	$0
Grant Chow	OH	Clinical Cardiac Electrophysiology Physician	$242.2K	$0

Nearby Providers

Other providers in the same ZIP code as Betty Gwinn-hall, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
County Of Coshocton	OH	Land Ambulance	$436.1K	$914.3K
Ahmed Habib	OH	Cardiovascular Disease Physician	$61K	$0
Mary Lynne Garrett	OH	Nurse Practitioner	$39.3K	$0
David Erwin	OH	Optometrist	$10.5K	$0

Betty Gwinn-hall — Billing Profile & Reimbursement Data

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Betty Gwinn-hall — 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