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

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

Rachel Rick (NPI 1164042032)

Field	Value
Entity Type	Individual
Organization	Rachel Rick
Address	81 Highland Ave
City	Salem
State	MA
ZIP	01970
Taxonomy	Family Nurse Practitioner
NPI Enumerated	April 21, 2020

Payer Source	Total Paid
Medicare	$41.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	590	$40	$24.2K
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…	180	$40	$7.8K
11045	The provider uses surgical instruments to remove dead tissue from the subcutaneous layer, as well as the epidermis and dermis if needed. She performs this service at the same session as a separately…	330	$20	$5.6K
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…	60	$60	$3.5K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	80	$10	$490
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	$20	$360

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Massachusetts Distribution

Rachel Rick — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
11042	10	250	100	$60	$11.5K
99213	3,204	13,700	70	$60	$8.8K
11045	10	50	140	$20	$4.9K
99203	1,117	4,290	30	$80	$4.1K
99212	2,144	2,660	30	$40	$2.4K
99211	79	360	40	$20	$1.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Justice Resource Institute, Inc.	MA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$186.1M
North Shore Medical Center, Inc.	MA	General Acute Care Hospital	$0	$137.7M
North Shore Community Health, Inc	MA	Federally Qualified Health Center (FQHC)	$0	$32.2M
Mass General Brigham Medical Group Northern Massachusetts Inc	MA	Emergency Medicine Physician	$0	$30.2M
East Point Adhc	MA	Adult Day Care Clinic/Center	$0	$22.9M
North Shore Medical Center, Inc.	MA	Psychiatric Hospital Unit	$0	$9.8M
Stay Well Ahdc, Inc.	MA	Adult Care Home Facility	$0	$8.5M
Commonwealth Diagnostics International, Inc.	MA	Clinical Medical Laboratory	$609.6K	$73.7K
Ramakrishna Gaddipati	MA	Ophthalmology Physician	$393K	$0
Thomas Kingston	MA	Urology Physician	$341.3K	$0

Rachel Rick — Billing Profile & Reimbursement Data

Sign up for Rachel Rick — Billing Profile & Reimbursement Data policy alerts

Rachel Rick — Billing Profile & Reimbursement Data

Sign up for Rachel Rick — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References