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

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

Marcia Saul (NPI 1184711780)

Field	Value
Entity Type	Individual
Organization	Marcia Saul
Address	4410 106th St Sw
City	Mukilteo
State	WA
ZIP	98275
Taxonomy	Family Medicine Physician
NPI Enumerated	October 6, 2006

Payer Source	Total Paid
Medicare	$34K
Medicaid	$0

Medicare: Complete Services Breakdown

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

26 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…	200	$80	$16.3K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	50	$110	$5.5K
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…	30	$110	$3.1K
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…	30	$60	$1.8K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	30	$50	$1.6K
U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	20	$50	$800
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	80	$10	$640
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	20	$20	$480
84484	The lab analyst performs the technical lab test typically using serum, plasma, or whole blood to quantitate troponin. Troponin is a protein labs commonly measure to verify a myocardial infarction and…	40	$10	$460
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	40	$10	$410

Showing 1–10 of 26

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Marcia Saul — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

26 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	2,818	10,860	100	$80	$13.6K
99215	1,652	4,320	40	$120	$8.4K
84443	426	480	40	$20	$8K
80053	397	740	50	$10	$6.9K
99213	7,180	9,690	60	$60	$6.5K
99204	2,472	4,750	30	$110	$5.2K
85025	335	670	40	$10	$4.9K
87077	38	70	20	$10	$4.9K
87070	9	30	20	$10	$4.2K
87186	16	110	20	$10	$3.5K

Showing 1–10 of 26

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Soundview Medical Supply, LLC	WA	Durable Medical Equipment & Medical Supplies	$0	$59.6M
Lincare Inc.	WA	Durable Medical Equipment & Medical Supplies	$0	$4.5M
Karla Ballew	WA	Nurse Practitioner	$812.8K	$98.3K
Bradley Fankhauser	WA	Internal Medicine Physician	$99.8K	$0
Walgreen Co	WA	Pharmacy	$98.9K	$0
Danika Kennedy	WA	Physical Therapist	$86.2K	$0
Andrew Todd	WA	Pediatrics Physician	$30.2K	$0

Marcia Saul — Billing Profile & Reimbursement Data

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Marcia Saul — 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