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

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

Edith Faulkner (NPI 1134460736)

Field	Value
Entity Type	Individual
Organization	Edith Faulkner
Address	1205 Highway 182 W Ste B
City	Starkville
State	MS
ZIP	39759
Taxonomy	Family Nurse Practitioner
NPI Enumerated	March 6, 2013

Payer Source	Total Paid
Medicare	$31.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G2087	Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month	80	$210	$16.3K
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…	160	$70	$10.7K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	150	$10	$1.8K
99484	Clinical staff members spend at least 20 minutes each month coordinating and managing a patient’s behavioral health services under the direction of a physician or other qualified health care…	60	$30	$1.6K
99406	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.	70	$10	$810

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Mississippi Distribution

Edith Faulkner — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Mississippi

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	2,115	4,110	170	$70	$21.9K
G2087	2	10	70	$240	$18.5K
99484	3	10	60	$30	$5.7K
80305	73	420	60	$10	$1.3K
99406	13	130	20	$10	$490

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northeast Mental Health/mental Retardation Commission	MS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$65.7M
Pathway Healthcare- Mississippi LLC	MS	Addiction Medicine (Family Medicine) Physician	$0	$2.6M
Duke Wood	MS	Addiction Medicine (Family Medicine) Physician	$119.7K	$0
Billy Davis	AL	Addiction Medicine (Family Medicine) Physician	$65.8K	$0
Deborah Gross	MS	Addiction Medicine (Psychiatry & Neurology) Physician	$37.4K	$0
Raven Campbell-smith	MS	Primary Care Nurse Practitioner	$32.2K	$0
Ryane Doty	MS	Psychiatric/Mental Health Nurse Practitioner	$30.2K	$0
Youlanda Jones	MS	Family Nurse Practitioner	$20.2K	$0
Katherine Ederer	MS	Psychiatric/Mental Health Nurse Practitioner	$11.6K	$0
Allan Rowe	MS	Clinical Social Worker	$8.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Golden Triangle Planning & Development District Inc	MS	Case Management Agency	$0	$25.9M
Oktibbeha County Hospital	MS	Rural Acute Care Hospital	$0	$19.8M
Region Seven Mental Health Intellectual Disabilities Comm	MS	Community/Behavioral Health Agency	$0	$16.1M
Starkville Pediatric Clinic	MS	Pediatrics Physician	$0	$6M
Golden Triangle Planning & Development District Inc	MS	Homemaker	$0	$5.1M
Hometown Healthcare Inc.	MS	Durable Medical Equipment & Medical Supplies	$0	$4.4M
Ot 4 Kidz, LLC	MS	Occupational Therapist	$0	$4.4M
Children's Rehab	MS	Physical Therapy Clinic/Center	$0	$3.8M
Region Seven Mental Health Intellectual Disabilities Comm	MS	Community/Behavioral Health Agency	$0	$3.7M
Speech Therapy For Kids, LLC	MS	Speech-Language Pathologist	$0	$3.3M

Edith Faulkner — Billing Profile & Reimbursement Data

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Edith Faulkner — 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