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

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

Theresa Hall (NPI 1265984181)

Field	Value
Entity Type	Individual
Organization	Theresa Hall
Address	2490 S Woodworth Loop Ste 250
City	Palmer
State	AK
ZIP	99645
Taxonomy	Gerontology Nurse Practitioner
NPI Enumerated	October 26, 2016

Payer Source	Total Paid
Medicare	$37.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	320	$100	$32K
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…	50	$70	$3.4K
95800	A patient undergoes a sleep study with no provider physically present. Parameters recorded include heart rate, blood oxygen concentration, respiratory analysis, and the amount of time sleeping.	20	$100	$1.9K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Alaska Distribution

Theresa Hall — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alaska

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	158	1,210	90	$100	$16.2K
95800	3	10	50	$120	$9.7K
99213	826	1,290	70	$70	$8.5K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alaska Heart Institute	AK	Cardiovascular Disease Physician	$0	$3.5M
Mat-su Valley Iii LLC	AK	Internal Medicine Physician	$0	$1.7M
Alaska Heart Institute	AK	Ambulatory Surgical Clinic/Center	$1.1M	$0
Mat-su Valley Iii LLC	AK	Urgent Care Clinic/Center	$0	$1.1M
Ahmed Abuzaid	AK	Cardiovascular Disease Physician	$544.1K	$0
Jacob Kelly	AK	Advanced Heart Failure and Transplant Cardiology Physician	$495.1K	$0
Alan Skolnick	AK	Cardiovascular Disease Physician	$473.3K	$0
Hung Vo	AK	Cardiovascular Disease Physician	$425.8K	$0
Linda Ireland	AK	Cardiovascular Disease Physician	$389.7K	$0
Carson Webb	AK	Interventional Cardiology Physician	$387.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mat-su Valley Medical Center LLC	AK	General Acute Care Hospital	$0	$67.4M
Mat-su Emergency Medicine Physicians Corp	AK	Emergency Medicine Physician	$0	$14.3M
Co Occuring Disorders Institute	AK	Community/Behavioral Health Agency	$0	$7.3M
Division Of Alaskan Pioneer Homes	AK	Assisted Living Facility	$0	$6.1M
Matanuska-susitna Borough School District	AK	Local Education Agency (LEA)	$0	$6M
Matanuska Susitna Borough	AK	Land Ambulance	$1.2M	$4.2M
Ak Nurtured Living LLC	AK	Assisted Living Facility	$0	$5.4M
Knik Tribe	AK	Community/Behavioral Health Agency	$0	$3.8M
Daybreak Incorporated	AK	Case Management Agency	$0	$3.6M
City & Borough Of Juneau Alaska	AK	Land Ambulance	$580.5K	$2.4M

Theresa Hall — Billing Profile & Reimbursement Data

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Theresa Hall — 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