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

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

Karen Wilson (NPI 1225654726)

Field	Value
Entity Type	Individual
Organization	Karen Wilson
Address	1505 N 2nd St
City	Memphis
State	TN
ZIP	38107
Taxonomy	Psychiatric/Mental Health Clinical Nurse Specialist
NPI Enumerated	June 19, 2020

Payer Source	Total Paid
Medicare	$61.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	500	$50	$22.5K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	270	$70	$19.2K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	80	$120	$9.2K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	90	$80	$7.5K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	30	$100	$2.9K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Tennessee Distribution

Karen Wilson — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	324	660	270	$70	$29.8K
99349	157	340	80	$80	$16.2K
99310	196	270	60	$100	$11.6K
99306	65	180	50	$130	$10.6K
90833	4	140	80	$40	$5.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Julia Hoke	LA	Physician Assistant	$292.8K	$0
Jeannie Knotts	MO	Family Nurse Practitioner	$193K	$25.5K
Leona Washington	TN	Family Nurse Practitioner	$204.9K	$0
Brandy Shephard	TN	Family Nurse Practitioner	$197.5K	$0
Mitzie Jenkins	AR	Psychiatric/Mental Health Nurse Practitioner	$156.9K	$0
Lawanda Glass	MS	Psychiatric/Mental Health Nurse Practitioner	$102.8K	$0
Jakeisha Goston	TN	Family Nurse Practitioner	$94.1K	$0
Avanti Cross-brown	TN	Psychiatric/Mental Health Nurse Practitioner	$88.7K	$0
Natalie Stamey	FL	Clinical Psychologist	$78.9K	$0
Jillian Ashbolt	LA	Family Nurse Practitioner	$67.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Firestone Dental Group , P.L.L.C.	TN	General Practice Dentistry	$0	$18.1M
Children's Bureau Inc.	TN	Foster Care Agency	$0	$5.5M

Karen Wilson — Billing Profile & Reimbursement Data

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Karen Wilson — 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