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

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

Kristen Knox (NPI 1154386860)

Field	Value
Entity Type	Individual
Organization	Kristen Knox
Address	809 Presidio Dr
City	Waunakee
State	WI
ZIP	53597
Taxonomy	Surgical Physician Assistant
NPI Enumerated	April 18, 2006

Payer Source	Total Paid
Medicare	$23.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
69210	The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.	280	$20	$6.4K
99203	The provider sees a new 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 provider…	90	$60	$5.4K
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…	100	$50	$5.1K
92504	In this diagnostic procedure, the provider uses a microscope to examine the ears of a patient. He may also sometimes examine the patient’s nose for direct visualization to help with diagnosis…	170	$20	$2.7K
69220	The provider cleans out the cavity left by a mastoidectomy. Patients sometimes require one or more debridement procedures after mastoidectomy before the cavity settles down, i.e., dries out.	40	$50	$2K
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…	10	$80	$1.1K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	20	$30	$660

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wisconsin Distribution

Kristen Knox — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	9,328	9,800	80	$70	$9.2K
99213	2,576	9,380	60	$50	$4.7K
69220	2	10	40	$60	$3K
99203	217	2,820	30	$60	$2.4K
69210	6	210	40	$20	$1.9K
99212	1,221	2,000	30	$30	$1.3K
92504	5	50	30	$10	$790

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southwest Health Center, Inc	WI	Critical Access Hospital	$225.5K	$8.3M
Southwest Health Center, Inc.	WI	Rural Health Clinic/Center	$0	$2.3M
Allison Dunne	WI	Physician Assistant	$1.4M	$0
Emily Guerard	NV	Hematology & Oncology Physician	$1.3M	$0
Ruqin Chen	FL	Hematology & Oncology Physician	$1M	$0
James Heun	WI	Hematology & Oncology Physician	$756.4K	$0
Robert Hegeman	WI	Medical Oncology Physician	$393.7K	$0
Samuel Gibson	WI	Diagnostic Radiology Physician	$241.9K	$0
Benjamin Kleiber	WI	Cardiovascular Disease Physician	$224K	$100
Eric Engelman	IA	Hematology & Oncology Physician	$216.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Waunakee Area Emergency Medical Service	WI	Land Ambulance	$226.8K	$36.4K
Walgreen Co	WI	Pharmacy	$112.9K	$3K
Tara Dull	WI	Physical Therapist	$62.2K	$0
Collin Kreple	WI	Neurology Physician	$33.1K	$0
Paula Lee	WI	Chiropractor	$31.8K	$0
Anthony Evans	WI	Gynecologic Oncology Physician	$22.3K	$0
Timothy Casias	WI	Anesthesiology Physician	$14.9K	$0

Kristen Knox — Billing Profile & Reimbursement Data

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Kristen Knox — 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