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 District of Columbia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to District of Columbia 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. District of Columbia (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.

Tara Coles (NPI 1164450631)

Field	Value
Entity Type	Individual
Organization	Tara Coles
Address	3800 Reservoir Rd Nw
City	Washington
State	DC
ZIP	20007
Taxonomy	Hospice and Palliative Medicine (Internal Medicine) Physician
NPI Enumerated	June 30, 2006

Payer Source	Total Paid
Medicare	$46K
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
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	190	$100	$19.8K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	70	$150	$10.7K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	110	$70	$7.3K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	80	$70	$5.6K
99498	The provider or other healthcare professional performs advanced care planning beyond an initial 30 minutes. The provider discusses and shares planning for the future health care needs of the patient…	40	$60	$2.5K

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. District of Columbia Distribution

Tara Coles — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — District of Columbia

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	203	650	90	$100	$17.6K
99232	275	640	70	$70	$10K
99223	134	610	40	$140	$8.4K
99497	17	90	40	$70	$4.9K
99498	5	10	30	$60	$2.7K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mep Health, LLC	MD	Emergency Medicine Physician	$0	$105.9M
Eddie Fernandez	MD	Emergency Medical Services (Emergency Medicine) Physician	$882.3K	$0
Alfred Jump	MD	Emergency Medicine Physician	$709.3K	$0
Michael Perraut	MD	Internal Medicine Physician	$479.5K	$0
Khanh Nguyen	MD	Emergency Medicine Physician	$357.3K	$0
Adam Corman	GA	Emergency Medicine Physician	$39.9K	$161.9K
Cheri Cartagena	MD	Medical Physician Assistant	$163.3K	$0
Mohammad Malik	MD	Emergency Medicine Physician	$162.7K	$0
Patrick Mcginley	MD	Emergency Medicine Physician	$160.7K	$0
Mengyang Liu	TX	Emergency Medicine Physician	$153.1K	$0

Tara Coles — Billing Profile & Reimbursement Data

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Tara Coles — 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