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

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

Nicole Rose (NPI 1255742516)

Field	Value
Entity Type	Individual
Organization	Nicole Rose
Address	123 Everett Rd
City	Albany
State	NY
ZIP	12205
Taxonomy	Speech-Language Pathologist
NPI Enumerated	May 8, 2014

Payer Source	Total Paid
Medicare	$14K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	140	$60	$7.7K
92524	The provider, typically a speech language pathologist, evaluates a patient for the quality of voice, nasality, and vocal behavior of the patient.	50	$80	$4K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	40	$60	$2.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New York Distribution

Nicole Rose — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92507	183	220	330	$60	$29.2K
92526	91	100	180	$80	$21.6K
92524	10	50	30	$90	$3.8K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Siobhan Kuhar	NY	Otolaryngology Physician	$135.1K	$520
Lawrence Kaufman	NY	Otolaryngology Physician	$132.4K	$510
Nora Perkins	NY	Otolaryngology Physician	$125.3K	$530
Robert Adelson	PA	Otolaryngology Physician	$86.6K	$0
Robert Engle	NY	Specialist	$69.8K	$600
Francesca Blasio	FL	Audiologist	$60.9K	$0
Alexander Bien	OK	Otology & Neurotology Physician	$36.2K	$410
Dana Wilhite	NY	Audiologist	$19.1K	$0
Maria Ragonese	NY	Audiologist	$17.1K	$0
Jessica Reitz	NY	Audiologist	$16.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Consumer Directed Choices, Inc.	NY	Attendant Care Provider	$0	$238.7M
Maxim Of New York, LLC	NY	Home Health Agency	$0	$92.6M
Attentive Care Of Albany, Inc	NY	Home Health Agency	$0	$36.7M
David Rabady	NY	Retina Specialist (Ophthalmology) Physician	$3.8M	$1.1M
Robert Feldman	NY	Ophthalmology Physician	$1.8M	$165.9K
Everett Road Asc, LLC	NY	Ambulatory Surgical Clinic/Center	$1.7M	$240.2K
Martin Ferrillo	NY	Interventional Pain Medicine Physician	$425.5K	$55.3K
Executive Woods Ambulatory Surgery Center LLC	NY	Ambulatory Surgical Clinic/Center	$310.9K	$0
Daniel Single	NY	Orthopaedic Surgery Physician	$247.5K	$0
Alfonso Prieto	NY	Clinical Cardiac Electrophysiology Physician	$207.6K	$10.7K

Nicole Rose — Billing Profile & Reimbursement Data

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Nicole Rose — 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