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

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

Alicia Adams (NPI 1164194247)

Field	Value
Entity Type	Individual
Organization	Alicia Adams
Address	1035 Placer St
City	Redding
State	CA
ZIP	96001
Taxonomy	Family Nurse Practitioner
NPI Enumerated	September 28, 2021

Payer Source	Total Paid
Medicare	$20.1K
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
97597	The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,…	530	$20	$12.6K
97598	After debriding the initial 20 cm2 at the same encounter, the provider excises devitalized (dead) tissue from an open wound. He may use a variety of techniques that include sharp debridement with…	470	$20	$7.5K

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. California Distribution

Alicia Adams — 1 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97598	6	30	120	$30	$27.3K
97597	15	440	60	$70	$8.6K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dimple Agarwal	CA	Internal Medicine Physician	$408.2K	$552.6K
Karen Garnaas	CA	Neurology Physician	$935.5K	$0
Oleg Liakhovetski	CA	Internal Medicine Physician	$559.3K	$0
Ashwani Kumar	KY	Hospitalist Physician	$290.5K	$200
James Gonzalez	CA	Surgery Physician	$179.8K	$31.1K
Jeffrey Southard	CA	Cardiovascular Disease Physician	$178.4K	$0
Mikhail Bargan	AZ	Family Medicine Physician	$81.6K	$0

Alicia Adams — Billing Profile & Reimbursement Data

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Alicia Adams — 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