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

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

Claudia Merkley (NPI 1174524573)

Field	Value
Entity Type	Individual
Organization	Claudia Merkley
Address	901 St Marys Dr
City	Evansville
State	IN
ZIP	47714
Taxonomy	Acute Care Nurse Practitioner
NPI Enumerated	August 9, 2005

Payer Source	Total Paid
Medicare	$5.3K
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
33533	Coronary artery bypass, using arterial graft(s); single arterial graft	20	$170	$3.8K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	10	$70	$790
33518	The provider diverts blood flow from damaged vessels in the heart by grafting two vein segments taken from another location, such as the leg, while the patient is undergoing a coronary artery bypass…	10	$40	$430
33268	At the same session as a primary procedure requiring sternotomy or thoracotomy, the provider performs exclusion, such as by excision, of the left atrial appendage, a small, pouchlike sac in the top…	10	$10	$160
33508	The provider employs surgical endoscopy to visualize structures surrounding the vein he harvests for a coronary artery bypass procedure.	20	$1	$50

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. Indiana Distribution

Claudia Merkley — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
33533	20	70	20	$850	$17K
99239	1,289	1,320	60	$80	$7.3K
33518	16	20	20	$210	$3.4K
33268	9	10	10	$70	$1.4K
33508	20	60	20	$10	$160

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. Vincent Medical Group, Inc.	IN	Orthopaedic Surgery Physician	$0	$70.4M
St Mary's Medical Group, LLC	IN	Family Medicine Physician	$0	$31.1M
Lutheran Medical Group LLC	IN	Cardiovascular Disease Physician	$0	$21.9M
St. Vincent Medical Group, Inc.	IN	Rural Health Clinic/Center	$0	$10.2M
Nephrology Associates Of Northern Indiana, Inc	IN	Nephrology Physician	$0	$3.3M
St. Vincent Medical Group, Inc.	IN	Rural Health Clinic/Center	$0	$3M
Douglas Debenham	IN	Radiation Oncology Physician	$1.8M	$0
Steven Ko	IN	Rheumatology Physician	$1.2M	$0
Karen Ringwald	IN	Rheumatology Physician	$1.1M	$0
Anil Rao	IN	Rheumatology Physician	$812.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Apex Behavioral Services L.L.P.	IN	Behavior Analyst	$0	$41.5M
Pain Management Centers Of America, Psc	IN	Interventional Pain Medicine Physician	$145.6K	$11.2M
Virtual Consult Md LLC	IN	Psychiatry Physician	$0	$8.2M
Rehabilitation Center Developmental Services, Inc.	IN	Developmentally Disabled Services Day Training Agency	$0	$5.5M
Counseling For Change, Inc.	IN	Community/Behavioral Health Agency	$0	$3.2M
Easter Seals Rehabilitation Center, Inc.	IN	Rehabilitation Clinic/Center	$0	$2.7M
Randall Oliver	IN	Interventional Pain Medicine Physician	$1.5M	$0
Advanced Ambulatory Surgery Center, LLC	IN	Ambulatory Surgical Clinic/Center	$619.8K	$123.2K
Vijay Bhasin	IN	Nephrology Physician	$539.9K	$0
Anatomic Laboratory Of The Tri-state, LLC	IN	Clinical Medical Laboratory	$206.3K	$203.9K

Claudia Merkley — Billing Profile & Reimbursement Data

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Claudia Merkley — 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