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

Why is the Medicaid comparison limited to New Jersey 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. New Jersey (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.

Constance Gore (NPI 1235192139)

Field	Value
Entity Type	Individual
Organization	Constance Gore
Address	100 Madison Ave
City	Morristown
State	NJ
ZIP	07960
Taxonomy	Acute Care Nurse Practitioner
NPI Enumerated	April 11, 2006

Payer Source	Total Paid
Medicare	$1.1M
Medicaid	$0

Medicare: Complete Services Breakdown

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

43 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J9271	Injection, pembrolizumab, 1 mg	9,800	$40	$372.4K
J9144	Injection, daratumumab, 10 mg and hyaluronidase‑fihj	6,120	$40	$232.6K
J0897	Injection, denosumab, 1 mg	10,680	$20	$181.6K
J0881	Injection, darbepoetin alfa, 1 microgram (non-esrd use)	27,500	$1	$55K
J1561	Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg	1,400	$40	$50.4K
J2506	Injection, pegfilgrastim, excludes biosimilar, 0.5 mg	420	$90	$36.5K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	300	$100	$30.4K
J1439	Injection, ferric carboxymaltose, 1 mg	30,000	$1	$30K
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	$130	$12.3K
J9217	Leuprolide acetate (for depot suspension), 7.5 mg	70	$140	$9.4K

Showing 1–10 of 43

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 43 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Jersey Distribution

Constance Gore — 1 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. state median

43 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	27	50	10,650	$40	$580.7K
J9144	7	10	9,090	$40	$480.3K
J1561	3	10	2,680	$40	$100.3K
J0897	35	380	3,060	$20	$87.8K
J2506	8	20	400	$80	$44.4K
J1439	44	70	34,880	$1	$36.5K
J0881	5	30	7,180	$1	$30.6K
J3490	84	120	70	$230	$30.2K
96413	57	230	190	$110	$26.6K
99214	10,931	13,640	130	$90	$23.6K

Showing 1–10 of 43

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
City Medical Of Upper East Side, PLLC	NY	Urgent Care Clinic/Center	$0	$641.6M
Summit Medical Group, Inc	KY	Family Medicine Physician	$0	$95.1M
Glen Gejerman	NJ	Radiation Oncology Physician	$6.5M	$0
Bader Pedemonte	NJ	Hematology (Pathology) Physician	$4.2M	$1.5K
Elizabeth Fleming	NJ	Adult Health Nurse Practitioner	$2.9M	$0
John Sylvester	FL	Radiation Oncology Physician	$2.5M	$0
Elan Diamond	NJ	Hematology & Oncology Physician	$1.9M	$0
William Ding	NJ	Radiation Oncology Physician	$1.7M	$0
John Mccormick	NJ	Diagnostic Radiology Physician	$1.5M	$0
Michael Wax	NJ	Hematology & Oncology Physician	$1.5M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ahs Hospital Corp.	NJ	General Acute Care Hospital	$0	$155.9M
Practice Associates Medical Group	NJ	Internal Medicine Physician	$0	$49.3M
Spring Hills At Morristown	NJ	Assisted Living Facility	$0	$11.7M
Vinod Voleti	NJ	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
Tatyana Marx	NJ	Neurology Physician	$1M	$0
Janet Bartov	NJ	Rheumatology Physician	$787.4K	$0
David Taylor	NJ	Urology Physician	$775.3K	$0
Thomas Lee	NJ	Vascular Surgery Physician	$684.3K	$0
Sean Lalin	NJ	Ophthalmology Physician	$617.8K	$0
Michael Resnikoff	NJ	Vascular Surgery Physician	$587.8K	$0

Constance Gore — Billing Profile & Reimbursement Data

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Constance Gore — 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