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

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

Sara Stanley (NPI 1255868329)

Field	Value
Entity Type	Individual
Organization	Sara Stanley
Address	112 N 3rd St
City	Leesville
State	LA
ZIP	71446
Taxonomy	Student in an Organized Health Care Education/Training Program
NPI Enumerated	May 18, 2017

Payer Source	Total Paid
Medicare	$6.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

1 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…	120	$60	$6.9K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Louisiana Distribution

Sara Stanley — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Louisiana

Full comparison — all codes billed, vs. state median

1 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92507	8	10	280	$60	$19.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Clhg-leesville	LA	General Acute Care Hospital	$0	$16.3M
Great River Orthopedic And Sports Medicine Center, Inc.	LA	Orthopaedic Surgery Physician	$0	$11.8M
Professional Pediatrics, LLC	LA	Rural Health Clinic/Center	$0	$10.1M
Allstar Pediatrics	LA	Primary Care Clinic/Center	$0	$8.7M
Carlock Enterprises LLC	LA	Rural Health Clinic/Center	$0	$4.6M
Jose Mathew	LA	Cardiovascular Disease Physician	$414.8K	$0
Gregory Lord	LA	General Practice Physician	$379.3K	$0
Kanchan Upadhyay	LA	Hematology & Oncology Physician	$332.8K	$840
Joe Rankin	LA	Diagnostic Radiology Physician	$145.3K	$0
Decora Franklin	LA	Nurse Practitioner	$100.3K	$0

Sara Stanley — Billing Profile & Reimbursement Data

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Sara Stanley — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References