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

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

Susan Rathgeb (NPI 1124153705)

Field	Value
Entity Type	Individual
Organization	Susan Rathgeb
Address	450 N New Ballas Rd
City	Saint Louis
State	MO
ZIP	63141
Taxonomy	Audiologist
NPI Enumerated	February 22, 2007

Payer Source	Total Paid
Medicare	$139.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
L8619	Cochlear implant, external speech processor and controller, integrated system, replacement	20	$7,310	$117K
92604	The provider performs reprogramming of a cochlear implant previously placed in a patient 7 years of age or older. The provider ensures that the implant is working properly and also counsels the…	150	$60	$9.5K
92626	The provider tests the auditory functional status of the patient to include sound perception, listening ability, orienting movements, and balancing. The provider performs this evaluation to determine…	90	$60	$5.3K
92557	The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…	140	$30	$3.5K
92603	The provider analyzes a cochlear implant previously placed in a patient 7 years of age or older. The provider does all programming required to make the implant work properly and also counsels the…	20	$120	$1.8K
92567	In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss.	70	$10	$800
92556	The provider measures a patient’s ability to recognize familiar words and repeat them to diagnose hearing disorders.	20	$30	$720
92552	The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the lowest threshold at which the patient can hear.	30	$30	$680

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Missouri Distribution

Susan Rathgeb — 1 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
L8619	1	10	20	$7,310	$117K
92604	1	20	40	$60	$3.7K
92557	77	160	130	$20	$3.2K
92626	3	20	50	$60	$3.1K
92603	1	10	10	$120	$1.5K
92556	21	30	30	$30	$1.2K
92567	91	160	90	$10	$1.2K
92552	24	40	30	$20	$900

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Patrik Pipkorn	MO	Otolaryngology Physician	$158.8K	$0
Sidharth Puram	MO	Otolaryngology Physician	$133.1K	$0
Ryan Jackson	MO	Otolaryngology Physician	$130.7K	$0
Matthew Rohlfing	MO	Otolaryngology Physician	$116.3K	$0
John Schneider	MO	Otolaryngology Physician	$88.7K	$1.1K
Jacques Herzog	MO	Otology & Neurotology Physician	$84K	$0
Jamie Grubey	NC	Otolaryngology Physician	$83.2K	$0
Jason Rich	MO	Otolaryngology Physician	$76K	$0
Nedim Durakovic	MO	Otology & Neurotology Physician	$74K	$0
Misty Vogt	MO	Family Nurse Practitioner	$69K	$0

Susan Rathgeb — Billing Profile & Reimbursement Data

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Susan Rathgeb — 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