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

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

Katie Nicosia (NPI 1205010170)

Field	Value
Entity Type	Individual
Organization	Katie Nicosia
Address	470 N Villa Rd
City	Newberg
State	OR
ZIP	97132
Taxonomy	Family Nurse Practitioner
NPI Enumerated	December 27, 2007

Payer Source	Total Paid
Medicaid	$1.5M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q9992	Injection, buprenorphine extended-release (sublocade), greater than 100 mg	610	$1,540	$936K
Q9991	Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg	260	$1,540	$396.5K
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…	850	$70	$59.7K
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…	330	$100	$31.4K
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	1,240	$10	$12.4K
H0001	Alcohol and/or drug assessment	80	$150	$11.8K
H0032	Mental health service plan development by non-physician	80	$100	$7.5K
99205	The provider sees a new 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 provider…	20	$130	$2.4K
H0004	Behavioral health counseling and therapy, per 15 minutes	30	$20	$600

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Oregon providers billing the same CPT/HCPCS codes.

Claims Volume vs. Oregon Distribution

Katie Nicosia — 0 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oregon

Full comparison — all codes billed, vs. Oregon median

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	250	270	1,660	$90	$681K
Q9992	Injection, buprenorphine extended-release (sublocade), greater than 100 mg	3	10	130	$1,860	$555.5K
Q9991	Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg	4	10	260	$1,780	$471.2K
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…	669	1,500	650	$70	$312.4K
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	103	160	2,750	$20	$205.1K
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…	195	530	150	$110	$74.9K
H0001	Alcohol and/or drug assessment	48	100	80	$140	$70.6K
H0032	Mental health service plan development by non-physician	95	190	80	$100	$52.2K
99205	The provider sees a new 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 provider…	140	190	60	$200	$45.6K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Recovery Works Nw LLC	OR	Multi-Specialty Clinic/Center	$0	$12.1M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Providence Health & Services - Oregon	OR	General Acute Care Hospital	$0	$20.1M
Newberg Kids Dentist LLC	OR	Dental Clinic/Center	$0	$4.3M
Providence Health & Services - Oregon	OR	Clinical Pathology Physician	$0	$3.8M
Providence Health & Services - Oregon	OR	Clinic/Center	$0	$3.6M
Intercultural Center For Psychology LLC	OR	Psychologist	$0	$1.4M
Gso Equipment Corp	OR	Endoscopy Clinic/Center	$291.4K	$998.3K
Ann Marie Macasa	OR	Rheumatology Physician	$437K	$0
Kristin Mcvay	OR	Geriatric Physical Therapist	$97.8K	$0
Marsha Green	OR	Clinical Psychologist	$94.1K	$0
Liang-chieh Ko	OR	Podiatrist	$93.7K	$0

Katie Nicosia — Billing Profile & Reimbursement Data

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Katie Nicosia — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References