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

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

Carol Fischer (NPI 1205946589)

Field	Value
Entity Type	Individual
Organization	Carol Fischer
Address	1331 Prairie Ave
City	Cheyenne
State	WY
ZIP	82009
Taxonomy	Family Medicine Physician
NPI Enumerated	August 30, 2006

Payer Source	Total Paid
Medicare	$348.9K
Medicaid	$0

Key Findings

CAROL FISCHER’s billing mix is consistent with an active family medicine primary care practice that pairs traditional office E/M with an advanced remote monitoring program: the top individual Medicare lines are 99214 (979 claims, $82.2K), G0439 (555 claims, $70.5K) and 99457 (1.6K claims, $59.1K). These codes indicate a combination of moderate-complexity established-patient visits, high-volume annual wellness visits, and frequent real-time RPM management interactions. The presence of both in-person E/M and RPM codes suggests a hybrid care model that manages longitudinal chronic disease remotely while maintaining office-based care.

Revenue concentration is high: the precomputed top-3 Medicare codes account for 60.9% of this provider’s total Medicare revenue, and total Medicare revenue on file is $348.9K. Specifically, 99214 contributes 23.6% of Medicare revenue, G0439 contributes 20.3%, and 99457 contributes 17.0%, so a small set of service lines drive the majority of billing. This concentration implies financial sensitivity to utilization patterns for those three codes.

This provider is effectively single-payer on the public side: Medicare lifetime revenue is $348.9K while there is no Medicaid billing on file. The absence of Medicaid activity means analyses of payer mix, access, or risk-adjustment exposure should default to a Medicare-centric view for this NPI. For network or contracting work, expect Medicare performance to dominate any public-program assessments.

On competitive standing, CAROL FISCHER ranks at or above the top tier nationally for several high-volume codes: G0439 is an extreme outlier (rank #428 of 105855, 100th percentile), while 99214 (rank #12024 of 479517, 97th percentile) and 99457 (rank #164 of 6044, 97th percentile) are described as "notably above typical national volume." These percentile positions indicate this provider is a major national outlier for annual wellness visits and a high-volume performer for both moderate-complexity E/M and RPM management when compared to peers. Such placement suggests differentiated operational emphasis rather than a typical small-volume primary care profile.

The RPM program appears deep and multi-layered: additional RPM-related codes show substantial activity and high relative standing — 99454 (1K claims, $39.7K; rank #269 of 5663, 95th percentile), 99458 (784 claims, $24.3K; rank #392 of 3715, 89th percentile), and 99453 (199 claims, $2.8K; rank #81 of 3295, 98th percentile). Together these codes support the interpretation that device supply, initial setup/education, and ongoing monitoring time are all billed at sustained volumes. For payers evaluating RPM partnerships or utilization management, this NPI demonstrates an established and billable RPM workflow.

There is a clear emphasis on preventive services: G0439 (annual wellness subsequent visit) is a top revenue driver at $70.5K (20.3% of Medicare revenue), and G0402 (initial preventive physical exam) and G0438 (initial AWV) are also present ($3.1K and $2.7K respectively). High AWV volume paired with routine immunization codes (90662: 149 claims, $10.3K; G0008: 155 claims, $4.7K) indicates preventive care and vaccination services are meaningful components of practice activity. This pattern aligns with a practice focused on preventive outreach and chronic condition surveillance.

Transitional care management and post-discharge services are present but represent smaller revenue slices: 99496 accounts for $9.2K (2.7% of Medicare revenue, rank #1894 of 15461, 87th percentile) and 99495 accounts for $3.3K (0.9%, rank #5605 of 17150, 64th percentile). These codes show the provider bills for higher-touch discharge follow-up on a recurring basis, suggesting some engagement with care transitions without it being a dominant revenue line. For utilization review or case management, expect modest but consistent TCM activity.

The NPI tenure is long-standing — enumerated on 2006-08-30 (~20 years ago) — which, combined with the pattern of high AWV and RPM billing, suggests an established practice that has expanded clinical services into virtual monitoring and preventive outreach over time. Despite high relative volume in several Medicare codes, total Medicare lifetime revenue of $348.9K indicates a moderate overall payment footprint rather than a large-system scale; this should frame competitive and network-placement conclusions about market impact. Analysts should treat this as an experienced, Medicare-focused clinician with specialized strengths in AWVs and RPM rather than as a high-revenue institutional provider.

Medicare: Complete Services Breakdown

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

19 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…	980	$80	$82.2K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	560	$130	$70.5K
99457	The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…	1,600	$40	$59.1K
99454	The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.	1,040	$40	$39.7K
99458	The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month.…	780	$30	$24.3K
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…	320	$60	$17.9K
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…	100	$140	$13.9K
90662	This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…	150	$70	$10.3K
99496	The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…	40	$220	$9.2K
G0008	Administration of influenza virus vaccine	160	$30	$4.7K

Showing 1–10 of 19

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wyoming Distribution

Carol Fischer — 7 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wyoming

Full comparison — all codes billed, vs. state median

19 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	17	780	100	$80	$14.8K
G0439	1	170	70	$120	$13.1K
99454	1	10	120	$40	$10.6K
99457	1	10	100	$40	$10K
99213	128	850	110	$60	$9.9K
99490	27	30	150	$40	$9.6K
99458	1	10	70	$30	$8.9K
90662	49	140	70	$70	$8.6K
99215	39	220	40	$120	$8.3K
99496	1	10	20	$200	$4.6K

Showing 1–10 of 19

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Americas Express Urgent Care, LLC	WY	Urgent Care Clinic/Center	$0	$344.9K
Carol A Fischer Md PC	WY	Physician Assistant	$0	$111.3K
Kristi Roybal	WY	Family Nurse Practitioner	$60.8K	$0
Robin Duncan	WY	Family Nurse Practitioner	$48.5K	$0
Lana Sykes	WY	Family Nurse Practitioner	$41.9K	$0
Stacey Earnest	WY	Family Nurse Practitioner	$38.6K	$0
Michael Means	WY	Emergency Medicine Physician	$29.5K	$0
Molly Means	WY	Physician Assistant	$11.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's Dentistry LLC	WY	Pediatric Dentistry	$0	$8M
Emg Cheyenne Sh LLC	WY	Assisted Living Facility	$0	$5.8M
Liv In-home Counseling & Care Management, LLC	WY	Primary Care Clinic/Center	$0	$5.7M
Lucy Russell	WY	Developmentally Disabled Services Day Training Agency	$0	$5.4M
Pediatric Dentistry LLC	WY	Pediatric Dentistry	$0	$4.1M
Bridges Of Wyoming, Inc	WY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$2.2M
Renee Dreher	WY	Clinical Social Worker	$0	$817.9K
Breanna Barnes	WY	Pediatric Dentistry	$0	$794.4K
College Drive Urgent Care LLC	WY	Urgent Care Clinic/Center	$0	$770.4K
Sandra Surbrugg	WY	Dermatology Physician	$664.9K	$0

Carol Fischer — 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