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

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

Natalie Fischer (NPI 1265886485)

Field	Value
Entity Type	Individual
Organization	Natalie Fischer
Address	1326 22nd Ave Se
City	Olympia
State	WA
ZIP	98501
Taxonomy	Nurse Practitioner
NPI Enumerated	April 14, 2016

Payer Source	Total Paid
Medicare	$6.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99348	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…	60	$40	$2.5K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	30	$80	$2.4K
99342	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a low level of medical decision making or the provider spends at least 30…	30	$30	$900
87811	The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…	20	$40	$700
80047	The lab analyst performs a basic metabolic panel (BMP) test in which he measures the blood level of eight chemicals identified in the descriptor including ionized calcium, sodium, potassium,…	20	$10	$210
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	10	$10	$80
81002	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…	30	$1	$80
85014	The lab analyst determines the volume percent of red blood cells, called hematocrit, contained in a whole blood specimen.	20	$1	$30

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Natalie Fischer — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99349	53	200	70	$80	$16.6K
87811	36	60	20	$40	$9.8K
99348	16	180	60	$50	$4.8K
36415	1,025	1,920	60	$10	$3.5K
99342	5	70	30	$50	$2.4K
80047	4	60	30	$10	$590
85014	13	50	30	$1	$170
81002	138	610	30	$1	$150

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jocelyn Ko	WA	Internal Medicine Physician	$146.7K	$50.3K
Susan Reyes	TN	Internal Medicine Physician	$162.6K	$4.5K
Heather Hamstra	TN	Nurse Practitioner	$156.4K	$0
Amber Tayman	TN	Family Nurse Practitioner	$79.9K	$0
Kellie Mathewson	TN	Nurse Practitioner	$64.5K	$0
Michael Ramos	WA	Nurse Practitioner	$43.2K	$0
Patricia Pannell	TN	Family Nurse Practitioner	$40.5K	$0
Frantz Alphonse	WA	Medical Physician Assistant	$35.9K	$0
Ranj Shwany	WA	Nurse Practitioner	$32.5K	$0
Ann Bacher	TN	Psychiatric/Mental Health Nurse Practitioner	$30.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Smiles 4 Kids Lacey. PC	WA	General Practice Dentistry	$0	$13.2M
Harbor Kids Dental	WA	Dentist	$0	$6.8M
Innovative Sleep Centers PLLC	WA	Sleep Medicine (Psychiatry & Neurology) Physician	$0	$3.5M
Access Dental LLC	WA	General Practice Dentistry	$0	$3.2M
American Medical Response Ambulance Service Inc	WA	Ambulance	$643.9K	$2.2M
Cynthia Whitney	WA	Family Medicine Physician	$111.1K	$0
Jeanette Revay	WA	Psychiatric/Mental Health Nurse Practitioner	$88.8K	$70
Howard Lloyd	WA	Clinical Psychologist	$22K	$0
Stephen Russell	WA	Dentist	$8.8K	$0
Wilfred Leung	WA	Hospitalist Physician	$5K	$0

Natalie Fischer — Billing Profile & Reimbursement Data

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Natalie Fischer — 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