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

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

Amy Mcnaughton (NPI 1255475349)

Field	Value
Entity Type	Individual
Organization	Amy Mcnaughton
Address	265 W Union St Ste A
City	Athens
State	OH
ZIP	45701
Taxonomy	Family Nurse Practitioner
NPI Enumerated	February 20, 2007

Payer Source	Total Paid
Medicare	$27.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	280	$50	$14.3K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	70	$90	$6.2K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	100	$50	$4.8K
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…	10	$90	$1.2K
87651	The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.	30	$30	$880
81003	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…	40	$1	$80

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Ohio Distribution

Amy Mcnaughton — 2 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	19,224	20,010	100	$70	$11.7K
99213	2,179	20,000	70	$50	$6.6K
87502	2	50	20	$90	$2.5K
87635	11	330	20	$50	$1.9K
87651	8	70	10	$30	$1.9K
81003	444	1,760	20	$1	$140

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ohiohealth Corporation	OH	Family Medicine Physician	$0	$89.1M
Adena Medical Group LLC	OH	Family Medicine Physician	$0	$39.9M
Pediatric Academic Association, Inc.	OH	Pediatrics Physician	$0	$37.2M
Somc Medical Care Foundation, Inc.	OH	Family Medicine Physician	$0	$25.3M
Marion Area Physicians LLC	OH	Internal Medicine Physician	$0	$15.7M
Ohiohealth Urgent Care LLC	OH	Urgent Care Clinic/Center	$0	$13.4M
Rahul Kar	OH	Vascular Surgery Physician	$2M	$0
Sayuri Cheruvu	IN	Medical Oncology Physician	$934.1K	$0
Ki Hassler	FL	Cardiovascular Disease Physician	$858.6K	$0
Mohammad Kabir	OH	Cardiovascular Disease Physician	$386.6K	$1.6K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hopewell Health Centers Inc	OH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$45.6M
Sheltering Arms Hospital Foundation, Inc.	OH	General Acute Care Hospital	$0	$26.9M
Health Recovery Services, Inc	OH	Addiction (Substance Use Disorder) Counselor	$0	$26.8M
Anew Behavioral Health, LLC	OH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$16.9M
Hopewell Health Centers, Inc.	OH	Federally Qualified Health Center (FQHC)	$0	$10.5M
Pinnacle Treatment Centers Oh-xvi, LLC	OH	Methadone Clinic	$88.1K	$5.1M
Athens County	OH	Ambulance	$581.9K	$2.1M
Ronald Gordineer	OH	Psychiatry Physician	$229.9K	$1.6M
Chase Scarbrough	OH	Dermatology Physician	$416.6K	$0
Kathleen Nemer	OH	MOHS-Micrographic Surgery Physician	$397.1K	$2.6K

Amy Mcnaughton — 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