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

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

Ruth Mcgaha (NPI 1184924961)

Field	Value
Entity Type	Individual
Organization	Ruth Mcgaha
Address	890 Garfield Ave
City	Libertyville
State	IL
ZIP	60048
Taxonomy	Acute Care Clinical Nurse Specialist
NPI Enumerated	October 27, 2010

Payer Source	Total Paid
Medicare	$3.6K
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
31500	The provider inserts a flexible tube into the trachea (windpipe) typically via the mouth in an emergency situation to maintain an open airway in a patient with a compromised airway.	20	$100	$1.8K
36556	The provider inserts a central venous access catheter in the neck, chest, or groin to draw blood or administer medication or nutrients to a patient 5 years of age or older.	10	$60	$720
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	10	$50	$640
44500	The provider inserts a long flexible intestinal tube that consists of two channels and a balloon tip down to the small intestine. He uses one of the channels in the tube to aspirate, or withdraw,…	10	$10	$200
76937	The provider uses ultrasound to help guide procedures requiring vascular access including central venous, peripheral venous, or arterial access procedures.	20	$10	$170

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. Illinois Distribution

Ruth Mcgaha — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99232	7,829	7,960	90	$60	$12.4K
31500	19	90	10	$120	$1.8K
36556	178	230	20	$70	$1.2K
76937	349	470	30	$10	$560
44500	2	10	10	$10	$220

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
County Of Lake	IL	Federally Qualified Health Center (FQHC)	$0	$4.7M
Village Of Libertyville	IL	Land Ambulance	$423.3K	$3.1M
Yasir Mekki	IL	Obstetrics & Gynecology Physician	$0	$3.1M
Adaora Okonkwo	IL	Anatomic Pathology & Clinical Pathology Physician	$115.5K	$2.8M
Martha Pawlukowsky	IL	Family Nurse Practitioner	$2M	$1.3K
Consolidated Pathology Consultants, Sc	IL	Clinical Pathology/Laboratory Medicine Physician	$1.8M	$3.7K
Osmanuddin Ahmed	IL	Vascular & Interventional Radiology Physician	$1M	$38.8K
Thomas Anderson	IL	Diagnostic Radiology Physician	$67.7K	$948.5K
Rami Taha	IL	Infectious Disease Physician	$488.9K	$437.3K
Rahul Bhardwaj	IL	Cardiovascular Disease Physician	$917.7K	$0

Ruth Mcgaha — 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