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

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

Merry Taheri (NPI 1184886178)

Field	Value
Entity Type	Individual
Organization	Merry Taheri
Address	1000 W Carson St
City	Torrance
State	CA
ZIP	90502
Taxonomy	Family Nurse Practitioner
NPI Enumerated	June 30, 2008

Payer Source	Total Paid
Medicare	$12.1M
Medicaid	$0

Key Findings

This provider is effectively single-payer in the available data: reported Total Medicare revenue is $12.1M while there is no Medicaid billing on file. The absence of Medicaid claims means this profile should be read as Medicare-dominated rather than reflecting a true dual-payer mix.

Revenue for Medicare is extremely concentrated: the precomputed top 3 Medicare codes account for 100.0% of this provider's total Medicare revenue, and one code in particular, K1034, is shown with $12.4M in revenue and is reported as 100.0% of the provider's Medicare revenue at the code level. This concentration indicates the provider’s Medicare receipts are driven almost entirely by a single service line.

The dominant code, K1034 (Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count), accounts for the vast bulk of billed Medicare activity by revenue ($12.4M) and is labeled an "extreme outlier, far above typical national volume for this code." That code’s national rank (#43 of 30143 providers, 100th percentile) confirms the provider is an unusually large national submitter for this specific COVID-19 test code.

By contrast, traditional office E/M activity is minimal: 99213 shows 33 claims and $1.6K revenue (0.0% of Medicare revenue) and 99212 shows 18 claims and $486 revenue (0.0% of Medicare revenue). Both E/M codes rank at low-to-typical volumes nationally (99213 rank #339686 of 457151, 25th percentile; 99212 rank #72479 of 99011, 24th percentile), indicating the provider is not operating at scale as a routine primary-care visit location within the Medicare population.

Tenure on file is long-standing: the NPI was enumerated 2008-06-30 (~18 years ago). Despite this long registration, the billing footprint reflected here is highly specialized toward a single test-related code rather than a broad mix of longitudinal care services.

The combination of an "extreme outlier" national ranking for K1034 and negligible Medicaid presence suggests a specialized, high-volume COVID test dispensing or distribution model rather than a conventional outpatient practice serving both Medicare and Medicaid. Because the top 3 codes represent 100.0% of Medicare revenue, any changes to reimbursement or demand for K1034 would have outsized impact on the provider's billed revenue.

From a competitive/market perspective, for the COVID test code this provider is a major national participant (top-ranked and extreme outlier), while for office visit codes the provider is a modest, typical participant. Analysts should treat the provider as a concentrated, code-specific operator for Medicare rather than a diversified clinical practice.

Given the data points ($12.1M Total Medicare revenue; K1034 $12.4M revenue and 100.0% of Medicare revenue at the code level; no Medicaid billing on file), the profile indicates both high specialization and potential exposure to single-code reimbursement shifts; monitoring changes to K1034 utilization or policy would be important when assessing this provider's future Medicare revenue trajectory.

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
K1034	Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count	1,032,900	$10	$12.4M
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	$50	$1.6K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	20	$30	$490

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. California Distribution

Merry Taheri — 1 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
K1034	6	2,780	710	$10	$58.8K
99213	25,961	34,660	80	$70	$13.2K
99212	5,869	7,970	30	$40	$3.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Philana Cunningham	CA	Family Nurse Practitioner	$6.9M	$0
Mayra Flores	CA	Nurse Practitioner	$6M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
County Of Los Angeles	CA	General Acute Care Hospital	$0	$96.5M
Los Angeles County Department Of Mental Health	CA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$71.9M
County Of Los Angeles	CA	General Acute Care Hospital	$0	$71.6M
Total Renal Care Inc	CA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$26.5M
Lawrence Goodwin	CA	Ophthalmology Physician	$349.7K	$571.2K
Christopher Kim	CA	Surgery Physician	$638.7K	$0
Matthew Budoff	CA	Cardiovascular Disease Physician	$520.4K	$0
Andrea Snow	CA	Orthopaedic Surgery Physician	$200.9K	$0
Erin Waite	CA	Clinical Neuropsychologist	$169.9K	$0
Felicita Baratelli	CA	Anatomic Pathology & Clinical Pathology Physician	$118.6K	$0

Merry Taheri — Billing Profile & Reimbursement Data

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Merry Taheri — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References