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

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

Katherine Price (NPI 1275824427)

Field	Value
Entity Type	Individual
Organization	Katherine Price
Address	13551 Waterford Pl
City	Midlothian
State	VA
ZIP	23112
Taxonomy	Pulmonary Disease Physician
NPI Enumerated	April 22, 2011

Payer Source	Total Paid
Medicare	$780.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J2357	Injection, omalizumab, 5 mg	7,560	$30	$226.8K
J2182	Injection, mepolizumab, 1 mg	7,400	$20	$170.2K
J0517	Injection, benralizumab, 1 mg	750	$130	$98.3K
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…	790	$90	$71.1K
J2356	Injection, tezepelumab-ekko, 1 mg	5,040	$10	$70.6K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	160	$130	$20.4K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	410	$50	$18.7K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	160	$90	$14.1K
99457	The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…	370	$40	$13.7K
99454	The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.	330	$40	$12.4K

Showing 1–10 of 24

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Virginia Distribution

Katherine Price — 1 of 24 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. state median

24 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0517	17	20	1,200	$130	$213K
J2357	13	40	5,630	$30	$212.4K
J2356	5	10	9,560	$10	$201.2K
J2182	10	20	6,100	$20	$180.2K
99214	812	12,890	140	$80	$21K
99490	123	510	130	$50	$15.5K
99233	981	3,290	80	$90	$13.7K
99454	69	210	220	$40	$13.6K
99291	1,152	1,950	50	$170	$12.2K
99232	3,420	4,460	80	$60	$11K

Showing 1–10 of 24

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Glenn Giessel	VA	Pulmonary Disease Physician	$1.1M	$0
Jamie Hey	VA	Pulmonary Disease Physician	$1M	$0
Ritsu Kuno	VA	Pulmonary Disease Physician	$933.4K	$0
Laura Vinson	VA	Pulmonary Disease Physician	$923.4K	$0
Alice Herlihy	VA	Pulmonary Disease Physician	$892.8K	$0
Pawanjit Sarna	VA	Pulmonary Disease Physician	$848K	$0
Kristyn Sayball	VA	Pulmonary Disease Physician	$819.3K	$0
John Sentz	VA	Pulmonary Disease Physician	$766.1K	$0
Drew Jones	VA	Pulmonary Disease Physician	$757.3K	$0
Shilpa Johri	VA	Pulmonary Disease Physician	$615.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rcg State Government Services, LLC	VA	Community/Behavioral Health Agency	$0	$16.2M
A Walk Through Life Mhss, LLC	VA	Community/Behavioral Health Agency	$0	$10.2M
L&r Of Chesterfield	VA	Developmentally Disabled Services Day Training Agency	$0	$9.8M
Children's Dentistry Of Virginia, PC	VA	Dental Clinic/Center	$0	$9.7M
Mare Transportation	VA	Non-emergency Medical Transport (VAN)	$0	$7.6M
Counseling And Advocacy Assc.	VA	Community/Behavioral Health Agency	$0	$7.1M
Virginia Medical & Therapeutic Services	VA	Clinical Social Worker	$0	$6.6M
Counseling And Advocacy Assc.	VA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$6.1M
Richmond City Taxi Cab,inc	VA	Non-emergency Medical Transport (VAN)	$0	$5.7M
Mark Johns	VA	Cardiovascular Disease Physician	$644.8K	$90

Katherine Price — Billing Profile & Reimbursement Data

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Katherine Price — 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