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

Why is the Medicaid comparison limited to Kentucky 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. Kentucky (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 Hartley (NPI 1164950671)

Field	Value
Entity Type	Individual
Organization	Melissa Hartley
Address	200 E Chestnut St
City	Louisville
State	KY
ZIP	40202
Taxonomy	Emergency Medicine Physician
NPI Enumerated	May 28, 2017

Payer Source	Total Paid
Medicare	$51.8K
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
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	150	$140	$20.7K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	90	$180	$15.4K
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…	50	$140	$6.9K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	70	$90	$6.1K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	190	$10	$1.1K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	20	$50	$950
93042	The provider interprets a recording of the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to…	70	$10	$370

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. Kentucky Distribution

Melissa Hartley — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	343	1,020	100	$130	$18.7K
99291	238	1,030	50	$160	$12.3K
99223	790	1,940	40	$130	$8.6K
99284	535	1,030	70	$90	$6.9K
93010	337	890	120	$10	$1.9K
99283	316	540	20	$50	$1.5K
93042	2	10	30	$10	$270

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Public Hospital District No 1 Of Mason County	WA	Critical Access Hospital	$0	$72.3M
Public Hospital District No 1 Of Mason County	WA	Rural Health Clinic/Center	$0	$35.5M
Spokane Emergency Care Physicians PLLC	WA	Emergency Medicine Physician	$0	$13.9M
Mercy Health System Corporation	WI	Multi-Specialty Clinic/Center	$0	$13.2M
Lester E Cox Medical Centers	MO	General Practice Physician	$0	$9.2M
Kootenai Health, Inc.	ID	General Acute Care Hospital	$0	$7M
Kootenai Health, Inc.	ID	Psychiatry Physician	$0	$6.7M
Kootenai County Emergency Medical Services System	ID	Land Ambulance	$1.7M	$3.6M
Public Hospital District No 1 Of Mason County	WA	Rural Health Clinic/Center	$0	$3.9M
Public Hospital District No 1 Of Mason County	WA	Rural Health Clinic/Center	$0	$3.8M

Melissa Hartley — Billing Profile & Reimbursement Data

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Melissa Hartley — 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