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

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

Gretchen Barone (NPI 1225380579)

Field	Value
Entity Type	Individual
Organization	Gretchen Barone
Address	3125 Dr Russell Smith Way
City	Carthage
State	MO
ZIP	64836
Taxonomy	Adult Health Nurse Practitioner
NPI Enumerated	October 11, 2012

Payer Source	Total Paid
Medicare	$40.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 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…	400	$80	$30.3K
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…	130	$40	$5.6K
99204	The provider sees a new 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 provider…	50	$110	$4.7K
82270	The lab analyst uses a peroxidase activity method to perform a colorectal cancer screening test for the presence of hidden blood in a fecal specimen that the patient collects from three consecutive…	10	$1	$60

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Missouri Distribution

Gretchen Barone — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,079	8,960	100	$80	$13.9K
99213	2,539	8,730	70	$50	$7K
99204	1,528	4,360	30	$100	$4.8K
82270	10	10	30	$1	$240

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Clinic Joplin LLC	MO	Family Medicine Physician	$0	$20.4M
Mercy Hospital Carthage	MO	Critical Access Hospital	$0	$18.8M
West County Radiological Group, Inc.	MO	Diagnostic Radiology Physician	$0	$5.4M
Mercy Clinic Joplin LLC	KS	Family Medicine Physician	$0	$714.2K
Dushyant Verma	MO	Hematology & Oncology Physician	$615.5K	$0
Mindi Garner	KS	Internal Medicine Physician	$486.7K	$0
Benjamin Yan	WV	Radiation Oncology Physician	$366K	$0
Sean Doyle	OK	Urology Physician	$359.4K	$0
Melanie Davidson	TN	Cardiovascular Disease Physician	$344.7K	$0
Sunshine Murray	OK	Urology Physician	$326.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sunshinechildrenshomeinc	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$7.6M
Jonathan Manzer	MO	Family Medicine Physician	$320.1K	$74K
Teryn Mcgrew	MO	Family Nurse Practitioner	$161.5K	$0
Jonathan Haffner	MO	Family Medicine Physician	$155.6K	$0
Lawrence Andrade	MO	Family Medicine Physician	$64.4K	$0
Joan Dutton	MO	Acute Care Nurse Practitioner	$29.7K	$0
Martin Pharmacy Services, LLC	MO	Community/Retail Pharmacy	$20.2K	$1.5K

Gretchen Barone — 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

Nearby Providers

Frequently Asked Questions

References