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 Armed Forces Europe for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Armed Forces Europe 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. Armed Forces Europe (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.

Jacqueline Anderson (NPI 1265722771)

Field	Value
Entity Type	Individual
Organization	Jacqueline Anderson
Address	Landstuhl Regional Medical Center
City	Apo
State	AE (Armed Forces Europe)
ZIP	09180
Taxonomy	Otolaryngology Physician
NPI Enumerated	April 18, 2011

Payer Source	Total Paid
Medicare	$5.8K
Medicaid	$0

Key Findings

Provider profile and tenure: JACQUELINE ANDERSON is an Otolaryngology Physician with an NPI enumerated 2011-04-18 (~15 years ago), indicating an established provider record despite a relatively small recent Medicare footprint. The long-enumerated NPI suggests experience in the specialty even though current Medicare billing totals are limited.

Overall Medicare scale and payer mix: This provider’s lifetime Medicare revenue on file is $5.8K and there is no Medicaid billing on file, so operations are effectively single-payer (Medicare) in the available data. The absence of Medicaid billing means analysts should treat this profile as Medicare-centric when assessing payer exposure and network strategy.

Revenue concentration: the top three Medicare codes (99203, 99204, 99213) together account for 72.8% of this provider’s total Medicare revenue, indicating heavy reliance on office/outpatient evaluation-and-management visits for revenue. Specifically, 99203 generated $1.9K (33.3% of Medicare revenue), 99204 generated $1.2K (21.6%), and 99213 generated $1K (17.9%).

Service-line implications: the dominant codes are E/M visits (99203, 99204, 99213), while the remaining billed services include diagnostic/office ENT procedures such as 31575 (flexible laryngoscopy), 31231 (nasal endoscopy), 69210 (cerumen removal), and 92504 (microscopic ear exam). This mix points to an office-based ENT practice model focused on evaluation and in-clinic diagnostic procedures rather than high-volume operative or hospital-based surgery.

Procedural volume and competitive standing: procedure codes show modest-to-low national placement — 31575 ranks #7208 of 7800 (6th percentile; typical, unremarkable volume for this code) and 31231 ranks #6018 of 6206 (1th percentile; typical, unremarkable volume for this code) — suggesting limited procedural throughput relative to national otolaryngology peers. Cerumen removal (69210) and otoscopic examination (92504) also sit at lower percentiles (30th and 17th respectively; both described as typical, unremarkable), reinforcing a modest procedural profile.

E/M competitive standing: the largest revenue driver 99203 ranks #72527 of 161519 (54th percentile; typical, unremarkable volume for this code), while 99204 and 99213 rank in lower national percentiles (#200769 of 227068, 8th percentile and #389026 of 457151, 14th percentile respectively; both described as typical, unremarkable). These placements indicate the provider is not a dominant national volume outlier for core office visit codes but maintains activity consistent with a modestly-sized outpatient practice.

Risk and operational implications: with total Medicare revenue of $5.8K concentrated in a few E/M codes and no Medicaid billing, the provider’s revenue is both small and concentrated; this creates sensitivity to changes in Medicare E/M policy, reimbursement, or referral patterns. For payers and network planners, the profile suggests limited negotiating leverage and likely limited impact on network capacity for ENT services.

Data consistency and outlier status: none of the listed codes are characterized as extreme outliers in the source notes; each is labeled in plain terms as typical or unremarkable for its national peer group. That lack of flagged statistical outliers supports treating the provider as a modest, clinic-focused ENT clinician rather than an unusually high- or low-volume anomaly.

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99203	The provider sees a new 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 provider…	40	$60	$1.9K
99204	The provider sees a new 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 provider…	10	$100	$1.2K
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…	20	$50	$1K
31575	The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.	20	$40	$620
31231	In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.	10	$40	$480
69210	The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.	20	$20	$360
92504	In this diagnostic procedure, the provider uses a microscope to examine the ears of a patient. He may also sometimes examine the patient’s nose for direct visualization to help with diagnosis…	20	$10	$110

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes. Note: this provider's state, "AE," is a US military postal designation for Armed Forces stationed in Europe, the Middle East, Africa, or Canada — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

View: State1 / 2

Claims Volume vs. Armed Forces Europe Distribution

Jacqueline Anderson — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Armed Forces Europe

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	13	20	60	$60	$10.8K
99204	10	10	30	$110	$5.7K
99203	2	10	30	$70	$2.5K
31575	1	10	20	$40	$610
31231	1	10	10	$40	$480
69210	1	10	20	$20	$350
92504	1	10	20	$10	$120

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jude Momodu	AE (Armed Forces Europe)	Family Medicine Physician	$42.8K	$86.6K
Matthew Brice	AE (Armed Forces Europe)	Emergency Medicine Physician	$60.1K	$0
Steve Louvet	AE (Armed Forces Europe)	Emergency Medicine Physician	$11.6K	$40.3K
Katherine Cooper	AE (Armed Forces Europe)	Occupational Therapist	$48.9K	$0
Eric Dahl	AE (Armed Forces Europe)	General Practice Physician	$44.8K	$0
Michael Sanzari	AE (Armed Forces Europe)	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$43.9K
Washeema Jones	AE (Armed Forces Europe)	Acute Care Nurse Practitioner	$29.6K	$0
Gregory Phillips	AE (Armed Forces Europe)	Neurology Physician	$22.7K	$0
Nicole Fee	AE (Armed Forces Europe)	Optometrist	$15.4K	$3.5K
Carlina Madelaire	AE (Armed Forces Europe)	Anatomic Pathology & Clinical Pathology Physician	$12.6K	$0

Jacqueline Anderson — Billing Profile & Reimbursement Data

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Jacqueline Anderson — 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

Nearby Providers

Frequently Asked Questions

References