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

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

Mark Hesselrode (NPI 1164417127)

Field	Value
Entity Type	Individual
Organization	Mark Hesselrode
Address	993 Cordova Station Ave
City	Cordova
State	TN
ZIP	38018
Taxonomy	Psychiatric/Mental Health Nurse Practitioner
NPI Enumerated	September 15, 2005

Payer Source	Total Paid
Medicare	$41.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	300	$70	$20.5K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	400	$40	$15.7K
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…	110	$40	$4K
99204	The provider sees a new 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 provider…	10	$100	$1.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Tennessee Distribution

Mark Hesselrode — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	2,735	11,370	120	$80	$16.6K
99213	4,360	11,030	80	$50	$8K
90833	7	140	80	$40	$5.4K
99204	4,730	5,490	30	$100	$5.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wr Community Services, LLC	TN	Home Health Agency	$0	$32.5M
Behavioral Services Of Tennessee, Inc.	TN	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$16M
Tri-state Community Health Corporation	TN	In Home Supportive Care Agency	$0	$6.8M
Michael E Steuer, Md, PC	TN	Specialist	$0	$2.6M
Huey Holt	TN	Specialist	$1.5M	$0
Michael Boatright	TN	Rheumatology Physician	$848.2K	$0
Mary Gupta	TN	Anatomic Pathology & Clinical Pathology Physician	$682K	$0
Mohammad Qureshi	TN	Specialist	$645.7K	$0
Michael Huba	TN	Anatomic Pathology & Clinical Pathology Physician	$584.8K	$0
Arvind Goel	TN	Nephrology Physician	$357.1K	$0

Mark Hesselrode — Billing Profile & Reimbursement Data

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Mark Hesselrode — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References