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

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

Elizabeth Mclarney (NPI 1215035530)

Field	Value
Entity Type	Individual
Organization	Elizabeth Mclarney
Address	17 Belmont Avenue
City	Brattleboro
State	VT
ZIP	05301
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	September 20, 2006

Payer Source	Total Paid
Medicare	$154.1K
Medicaid	$0

Key Findings

This provider is effectively single-payer on record: Total Medicare revenue is $154.1K and there is no Medicaid billing on file, so Medicare accounts for the entirety of observed public-payer activity. That concentrated payer mix implies limited exposure to Medicaid populations and suggests any analysis of access or utilization should focus on Medicare beneficiaries.

Revenue is highly concentrated in a small set of services: the top three Medicare codes (27447, 23472, 99214) account for 56.5% of this provider's total Medicare revenue. Those three codes individually contribute $48.7K (27447, 31.6%), $21.9K (23472, 14.2%), and $16.5K (99214, 10.7%), indicating a reliance on a few high-value procedures and office visits.

The clinical/service-line mix points to an orthopaedic surgeon focused on joint arthroplasty and related care: 27447 (total knee arthroplasty) and 23472 (total shoulder arthroplasty) are the top revenue drivers, and 27130 (hip replacement) also appears in the top codes with $11.7K in revenue. This pattern, combined with substantial E/M billing, is consistent with a practice model that performs major joint replacements and provides ongoing perioperative and follow-up clinic management.

The practice shows adoption of technology in joint procedures: 20985 (computer assisted navigation) appears in the top codes with 56 claims and $6K revenue (3.9%) and is ranked #417 of 1390 providers nationally (70th percentile; typical, unremarkable volume for this code). Presence of 20985 alongside major arthroplasty codes suggests the provider uses intraoperative navigation or similar systems for some joint replacements, which has implications for procedure complexity and capital/implant decisions.

The procedural mix includes both operative and nonoperative interventions: 64640 (neurolysis) yields $8.4K (5.4%) with 142 claims and is ranked #121 of 619 (80th percentile; typical, unremarkable volume for this code), while 20610 (major joint injection) has 194 claims and $6K (3.9%) and ranks #6657 of 39752 (83th percentile; typical, unremarkable volume for this code). Together these codes indicate the provider delivers pain-management and injection-based services in addition to surgical care, reflecting a blended practice profile.

Ambulatory evaluation-and-management volume is a material component of Medicare revenue: 99214 (330 claims, $16.5K, 10.7%) and 99213 (318 claims, $14K, 9.1%) together represent a significant portion of encounters, with 99214 ranked #89617 of 479517 (81th percentile; typical, unremarkable volume for this code) and 99213 ranked #55090 of 457151 (88th percentile; typical, unremarkable volume for this code). These high counts of moderate-complexity outpatient visits support the view that the provider manages a steady clinic panel and longitudinal care for musculoskeletal conditions.

Competitive standing is modest and variable by procedure: 27447 is ranked #3341 of 12089 nationally (72th percentile; typical, unremarkable volume for this code), 23472 is #1650 of 3439 (49th percentile; typical, unremarkable volume for this code), while 27130 is low at #6957 of 8062 (9th percentile; typical, unremarkable volume for this code). In aggregate these ranks indicate the provider is not a dominant national player in arthroplasty but shows above-median activity for some knee replacement measures and otherwise occupies a middle-to-modest competitive position.

The provider has long-tenure enrollment but modest lifetime Medicare receipts: NPI enumerated 2006-09-20 (~20 years ago) indicates an established practice footprint, yet lifetime Medicare revenue of $154.1K is modest for an Orthopaedic Surgery Physician. This combination suggests a long-standing, lower-volume or selectively scoped orthopaedic practice rather than a high-volume surgical center, which should be considered when projecting capacity or negotiating network participation.

Medicare: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
27447	In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…	50	$970	$48.6K
23472	In this procedure, the provider performs a total shoulder arthroplasty in which the provider replaces the damaged head of the humerus and the glenoid cavity with prosthetic implants. The provider…	20	$1,090	$21.9K
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…	330	$50	$16.5K
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	$40	$14K
27130	In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…	10	$900	$11.7K
64640	Neurolysis is the destruction of nerves responsible for carrying pain information. The destruction includes the use of chemical, heat, or radiofrequency techniques.	140	$60	$8.4K
64721	Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which…	30	$320	$8K
20985	A provider using a computer assisted navigation system, or CANS, performs musculoskeletal procedures, such as a joint replacement surgery, with the aid of a computer screen that provides a…	60	$110	$6K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	190	$30	$6K
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…	60	$70	$4.5K

Showing 1–10 of 13

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Vermont Distribution

Elizabeth Mclarney — 1 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Vermont

Full comparison — all codes billed, vs. state median

13 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27447	7	30	40	$600	$23.5K
27130	16	20	40	$640	$23.1K
23472	3	10	20	$810	$18.7K
64721	5	10	40	$370	$13.2K
99214	107	960	90	$70	$10.6K
99215	131	410	40	$110	$7.2K
99213	86	910	80	$50	$6.7K
20985	2	10	40	$110	$6K
64640	1	10	90	$60	$5.5K
23430	2	10	10	$250	$4.9K

Showing 1–10 of 13

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bluewater Emergency Partners Of Brunswick, LLC	ME	Emergency Medicine Physician	$0	$3.8M
Southwestern Vermont Medical Center Inc.	VT	Internal Medicine Physician	$0	$2.9M
Brattleboro Memorial Hospital	VT	General Acute Care Hospital	$0	$2.4M
Andrew Roth	IL	Obstetrics & Gynecology Physician	$116.6K	$161.3K
Christopher Kareores	MA	Undersea and Hyperbaric Medicine (Emergency Medicine) Physician	$78.4K	$193.8K
David Terrell	VT	Ophthalmology Physician	$270.3K	$0
Joseph Stein	IL	Diagnostic Radiology Physician	$188.5K	$120
Alexandra Van Dyck	VT	Internal Medicine Physician	$173.2K	$0
Craig Goldberg	MA	Family Medicine Physician	$68.1K	$104.1K
Zachry Zichittella	MA	Cardiovascular Disease Physician	$145.9K	$16.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Winston L. Prouty Center For Child Development, Inc.	VT	Developmentally Disabled Services Day Training Agency	$0	$5.5M
Rescue Inc.	VT	Ambulance	$1M	$3.3M
Habit Opco, LLC	VT	Substance Use Disorder Rehabilitation Clinic/Center	$463.1K	$1.5M
Lincare Inc.	VT	Durable Medical Equipment & Medical Supplies	$0	$915K
Windham County Dental Center Inc	VT	Dental Clinic/Center	$0	$621.8K
Youth Services, Inc.	VT	Mental Health Counselor	$0	$600.4K
Green Mountain Counseling Associates	VT	Mental Health Counselor	$0	$598.2K
Erin Berard	VT	Mental Health Counselor	$0	$571.5K
Timothy Whitney	VT	Mental Health Counselor	$0	$555.1K
James Carew	VT	Social Worker	$0	$489.1K

Elizabeth Mclarney — 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