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

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

Megan Auer (NPI 1255771259)

Field	Value
Entity Type	Individual
Organization	Megan Auer
Address	5050 Powderhouse Rd
City	Cheyenne
State	WY
ZIP	82009
Taxonomy	Family Nurse Practitioner
NPI Enumerated	July 5, 2013

Payer Source	Total Paid
Medicare	$238.4K
Medicaid	$0

Key Findings

This provider is effectively single‑payer Medicare: total Medicare revenue is $238.4K and there is no Medicaid billing on file. Revenue is highly concentrated within a few services — the precomputed top‑3 codes account for 56.9% of Medicare revenue — indicating a narrow set of high‑value interventions drives the practice’s Medicare income.

The top revenue drivers point to an office‑based primary care and ambulatory therapeutics model. J0897 (3.1K claims, $18 avg paid/claim, $55.1K revenue, 24.2%) is the single largest code by revenue, while 99214 (699 claims, $70 avg paid/claim, $48.9K revenue, 21.5%) and 99213 (487 claims, $52 avg paid/claim, $25.3K revenue, 11.1%) are the other two largest contributors, together reflecting a mix of procedural medication administration plus routine established‑patient evaluation and management.

J0897’s role as the top line item (24.2% of Medicare revenue) suggests the provider administers denosumab regularly in‑office rather than relying solely on external infusion sites; that code is described here as "typical, unremarkable volume" nationally (rank #4470 of 10057). By contrast, 99214 is a major strength: it accounts for $48.9K (21.5%) of Medicare revenue and is explicitly characterized as "notably above typical national volume" (rank #26240 of 479517, 95th percentile), signaling above‑average ambulatory visit throughput for moderate‑complexity established visits.

Visit intensity is elevated relative to peers: both 99214 and 99213 show strong utilization (99214 at the 95th percentile and 99213 at the 94th percentile), indicating a steady stream of established‑patient encounters at moderate and low complexity levels. Those high E/M volumes, together with the 699 and 487 claims reported for 99214 and 99213 respectively, point to a practice focused on longitudinal primary care and chronic disease management.

Preventive care and vaccination activity is a meaningful secondary pillar of the practice. The annual wellness visit code G0439 (201 claims, $110 avg paid/claim, $22.1K revenue, 9.7%) is a notable source of revenue, and vaccine codes such as 90662 (152 claims, $72 avg paid/claim, $10.9K; 90th percentile) and 90677 (36 claims, $282 avg paid/claim, $10.2K; 80th percentile) show above‑average utilization for immunizations and adult preventive services.

Onsite ancillary and lab services support the clinical model: 36415 (1.2K claims, $7 avg paid/claim, $8.1K revenue) is at the 97th percentile, and panels such as 80053 (546 claims, $10 avg paid/claim, $5.5K) and 85025 (612 claims, $8 avg paid/claim, $4.9K) appear regularly, indicating frequent phlebotomy and lab testing consistent with chronic disease monitoring. These volumes reinforce the view of an office that manages routine monitoring in‑house.

The provider has an established presence in Medicare billing with an NPI enumerated on 2013-07-05 (~13 years ago), and competitive standing varies by service: they are a strong national outlier on E/M visit volume (99214, "notably above typical national volume") and have high relative activity in phlebotomy and common lab tests (multiple codes in the 80th–97th percentile range), while their largest procedural revenue source J0897 is described as "typical, unremarkable volume" nationally. Taken together, this profile describes a long‑standing, office‑based Family Nurse Practitioner practice that relies on a mix of denosumab administration, high established‑patient E/M volume, preventive visits, vaccinations, and routine laboratory work to generate Medicare revenue.

Medicare: Complete Services Breakdown

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

52 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0897	Injection, denosumab, 1 mg	3,060	$20	$55.1K
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…	700	$70	$48.9K
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…	490	$50	$25.3K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	200	$110	$22.1K
90662	This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…	150	$70	$10.9K
90677	This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…	40	$280	$10.2K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	1,160	$10	$8.1K
84443	The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…	350	$20	$5.7K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	550	$10	$5.5K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	610	$10	$4.9K

Showing 1–10 of 52

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 52 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wyoming Distribution

Megan Auer — 3 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wyoming

Full comparison — all codes billed, vs. state median

52 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0897	14	50	1,800	$20	$51.1K
99214	35	780	100	$80	$14.8K
91320	35	60	50	$120	$13.9K
G0439	30	170	70	$120	$13.1K
99213	60	850	110	$60	$9.9K
90677	33	110	20	$280	$8.9K
90662	47	140	70	$70	$8.6K
77080	26	30	90	$30	$4.2K
90480	74	110	100	$30	$4K
G0008	59	210	70	$30	$3.2K

Showing 1–10 of 52

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Uch-mhs	CO	General Acute Care Hospital	$0	$69M
Poudre Valley Medical Group, LLC	CO	General Practice Physician	$0	$14.9M
Poudre Valley Medical Group, LLC	CO	General Practice Physician	$0	$8M
Fort Collins Radiologic Associates PC	CO	Diagnostic Radiology Physician	$0	$6.4M
Poudre Valley Medical Group, LLC	CO	Urgent Care Clinic/Center	$0	$6M
Inder Singh	CA	Interventional Cardiology Physician	$4.7M	$0
Douglas Holmes	WY	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
Brittney Statler	CO	Ophthalmology Physician	$3.7M	$0
Arthur Korotkin	CO	Ophthalmology Physician	$3.7M	$0
Jodie Gallegos	CO	Family Nurse Practitioner	$2.8M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's Dentistry LLC	WY	Pediatric Dentistry	$0	$8M
Emg Cheyenne Sh LLC	WY	Assisted Living Facility	$0	$5.8M
Liv In-home Counseling & Care Management, LLC	WY	Primary Care Clinic/Center	$0	$5.7M
Lucy Russell	WY	Developmentally Disabled Services Day Training Agency	$0	$5.4M
Pediatric Dentistry LLC	WY	Pediatric Dentistry	$0	$4.1M
Bridges Of Wyoming, Inc	WY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$2.2M
Renee Dreher	WY	Clinical Social Worker	$0	$817.9K
Breanna Barnes	WY	Pediatric Dentistry	$0	$794.4K
College Drive Urgent Care LLC	WY	Urgent Care Clinic/Center	$0	$770.4K
Sandra Surbrugg	WY	Dermatology Physician	$664.9K	$0

Megan Auer — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References