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.

Melissa Blackburn-kierkla (NPI 1164461273)

Field	Value
Entity Type	Individual
Organization	Melissa Blackburn-kierkla
Address	218 Cedar Swamp Rd
City	Monson
State	MA
ZIP	01057
Taxonomy	Pediatric Nurse Practitioner
NPI Enumerated	June 5, 2006

Payer Source	Total Paid
Medicare	$77.9K
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
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	510	$70	$37.5K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	160	$130	$20.3K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	120	$50	$6K
51725	A cystometer measures the bladder's capacity, or bladder pressure. It evaluates the contraction and expulsion activities of the bladder, and is used to diagnose certain urinary disorders.	100	$60	$5.4K
51798	Providers perform this ultrasound to measure the volume of residual urine in the bladder.	410	$10	$3.7K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	40	$90	$3.7K
57150	In this procedure, the provider washes out the vaginal canal and may also instill medication when the patient has a bacterial, fungal, or parasitic disease.	30	$40	$930

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. Massachusetts Distribution

Melissa Blackburn-kierkla — 1 of 7 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

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	301	840	300	$80	$37.8K
99308	445	750	170	$50	$20.5K
99306	93	370	80	$140	$17.9K
99349	182	290	60	$80	$12K
51725	1	10	40	$120	$4.8K
57150	8	10	30	$30	$2.1K
51798	46	250	150	$10	$2.1K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Melissa Blackburn-kierkla, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Impact Health P.C.	CT	Nurse Practitioner	$0	$1.4M
Vlastimil Smetka	SC	Family Medicine Physician	$457.3K	$0
Rami Ashkar	MA	Internal Medicine Physician	$365.8K	$0
Marie-paule Heylen	NY	Adult Health Nurse Practitioner	$348.2K	$0
Ann Maria Elder	MA	Physical Medicine & Rehabilitation Physician	$326.6K	$0
Marat Abdullin	MA	Nephrology Physician	$317.3K	$1.8K
Ashish Verma	MA	Nephrology Physician	$277.7K	$0
Elizabeth Casey	CT	Family Nurse Practitioner	$253.7K	$0
Jennifer Gross	MA	Medical Physician Assistant	$221.4K	$0
Chin Cheng Tai	CT	Primary Care Nurse Practitioner	$220.2K	$0

Nearby Providers

Other providers in the same ZIP code as Melissa Blackburn-kierkla, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Allison Gendron	MA	Occupational Therapist	$53.4K	$0

Melissa Blackburn-kierkla — Billing Profile & Reimbursement Data

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Melissa Blackburn-kierkla — 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