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

Why is the Medicaid comparison limited to Iowa 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. Iowa (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 Fagan (NPI 1194842849)

Field	Value
Entity Type	Individual
Organization	Melissa Fagan
Address	202 10th Street Se
City	Cedar Rapids
State	IA
ZIP	52403
Taxonomy	Family Nurse Practitioner
NPI Enumerated	March 26, 2007

Payer Source	Total Paid
Medicare	$8.4K
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
26600	The provider treats each metacarpal bone fracture without manipulation or surgical intervention. He performs the procedure to prevent deformity, relieve pain, and restore function.	10	$180	$2.3K
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…	40	$60	$2.1K
99203	The provider sees a new 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 provider…	20	$70	$1.6K
73140	In this diagnostic procedure, the provider performs a radiological study of one or more fingers. He performs two or more views.	40	$20	$890
73130	In this procedure, the provider takes a minimum of three X–ray images of a patient’s hand to check for any fracture, swelling, or reason of pain in the hand.	40	$20	$740
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,…	10	$30	$430
Q4010	Cast supplies, short arm cast, adult (11 years +), fiberglass	20	$20	$320

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. Iowa Distribution

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

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Iowa

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	3,634	4,740	100	$50	$8K
99203	1,026	1,600	30	$60	$3.2K
26600	1	10	10	$180	$2.3K
99212	1,122	1,240	40	$30	$2.1K
73140	20	100	20	$20	$550
73130	91	220	30	$10	$530
Q4010	7	30	20	$20	$330

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Linn County Emergency Medicine PC	IA	Emergency Medicine Physician	$0	$9.8M

Melissa Fagan — Billing Profile & Reimbursement Data

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Melissa Fagan — 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