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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

Caitlyn Hough (NPI 1114522141)

Field	Value
Entity Type	Individual
Organization	Caitlyn Hough
Address	1104a S Main St
City	Lexington
State	NC
ZIP	27292
Taxonomy	Clinical Social Worker
NPI Enumerated	November 30, 2020

Payer Source	Total Paid
Medicare	$6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	360	$10	$5.1K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	30	$40	$1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

Caitlyn Hough — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90832	163	190	90	$40	$12.3K
90853	2	20	140	$10	$2.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kimberly Whitman	NC	Clinical Social Worker	$8.9K	$0
Donna Shew	NC	Clinical Social Worker	$5.7K	$0
Edward Smith	NC	Clinical Social Worker	$4.9K	$0
Amy Jones	NC	Clinical Social Worker	$2.4K	$0
Melina Rice	NC	Clinical Social Worker	$2.3K	$0
Brenda Mullis	NC	Clinical Social Worker	$1.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lexington Medical Center	NC	General Acute Care Hospital	$0	$15.8M
Monarch	NC	Community/Behavioral Health Agency	$0	$12.4M
Ot4 Kids, Inc	NC	Occupational Therapist	$0	$11.1M
County Of Davidson	NC	Land Ambulance	$866.3K	$3M
Sidney Ware	NC	Emergency Medicine Physician	$166.6K	$0
Terry Arnold	NC	Internal Medicine Physician	$136.3K	$0
Volker Stieber	NC	Radiation Oncology Physician	$119.4K	$0
Katie Twomley	NC	Cardiovascular Disease Physician	$80.2K	$0
William Richardson	NC	Nurse Practitioner	$48.8K	$0
Jung Kim-shapiro	NC	Anatomic Pathology & Clinical Pathology Physician	$41.6K	$0

Caitlyn Hough — Billing Profile & Reimbursement Data

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Caitlyn Hough — 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