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

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

Melissa Mathern (NPI 1255944922)

Field	Value
Entity Type	Individual
Organization	Melissa Mathern
Address	7818 S Hill Cir
City	Littleton
State	CO
ZIP	80120
Taxonomy	Nurse Practitioner
NPI Enumerated	August 24, 2020

Payer Source	Total Paid
Medicare	$25.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99350	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…	160	$120	$19.4K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	40	$60	$2.4K
99345	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends at least 75…	20	$140	$2.2K
G0318	Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary…	50	$20	$1.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Colorado Distribution

Melissa Mathern — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99350	27	160	60	$120	$13.6K
99497	194	410	40	$50	$3.8K
99345	51	80	20	$130	$2.9K
G0318	5	10	40	$20	$1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Yousuf Gaffar	CO	Hematology & Oncology Physician	$1.5M	$0
Clayton Labaume	CO	Surgical Physician Assistant	$1.4M	$0
Misbah Zmily	NM	Internal Medicine Physician	$609.4K	$703K
Vishal Dhere	CO	Radiation Oncology Physician	$771.7K	$0
Marina Moskalenko	CO	Radiation Oncology Physician	$751.7K	$0
Tyler Nickle	CO	Pain Medicine Physician	$659.8K	$0
Samir Hadi	NV	Vascular & Interventional Radiology Physician	$642.2K	$0
Kimberly Wagner	CO	Neurology Physician	$353.4K	$0
Scott Herbert	NM	Hematology & Oncology Physician	$312.4K	$0
Michael Staab	CO	Cardiovascular Disease Physician	$286.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Integrated Life Choices	CO	Developmentally Disabled Services Day Training Agency	$0	$123.6M
Caps - Mental Health And Dui Services, LLC	CO	Community/Behavioral Health Agency	$0	$6.8M
Actualize Behavior Alternatives	CO	Clinical Social Worker	$0	$6.4M
Andy M. Fine, M.d., Inc	CO	Internal Medicine Physician	$0	$3.8M
Rocky Mountain Health & Rehab, LLC	CO	Physical Therapist	$0	$3.5M
Manojkumar Bupathi	CO	Hematology & Oncology Physician	$1.4M	$0
Functional Neurosurgical Ambulatory Surgery Center,llc	CO	Ambulatory Surgical Clinic/Center	$955.9K	$0
Arapahoe Surgicenter, LLC	CO	Ambulatory Surgical Clinic/Center	$452K	$353.4K
Charles Leonard	CO	Radiation Oncology Physician	$495.5K	$0
Littleton Day Surgery Center LLC	CO	Ambulatory Surgical Clinic/Center	$384.3K	$0

Melissa Mathern — Billing Profile & Reimbursement Data

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Melissa Mathern — 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