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

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

Mallery Knoll (NPI 1285142752)

Field	Value
Entity Type	Individual
Organization	Mallery Knoll
Address	350 Heritage Way Ste 2100
City	Kalispell
State	MT
ZIP	59901
Taxonomy	Physician Assistant
NPI Enumerated	January 17, 2018

Payer Source	Total Paid
Medicare	$29.6K
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
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…	340	$60	$19.3K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	80	$90	$7.3K
93016	The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…	140	$10	$1.8K
93018	The provider analyzes and interprets the recording of the electrical activity of the heart to examine for any abnormality in its functioning, including blood pressure and electrocardiograph readings…	140	$10	$1.3K

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. Montana Distribution

Mallery Knoll — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	255	1,810	100	$70	$12.4K
99215	233	780	40	$100	$7.9K
93016	5	40	40	$10	$900
93018	9	50	50	$10	$810

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Glacier Medical Associates	MT	Family Medicine Physician	$0	$5M
John Kalbfleisch	MT	Family Medicine Physician	$306.1K	$0
Daniel Munzing	MT	Family Medicine Physician	$176.1K	$0
Jennie Eckstrom	MT	Family Medicine Physician	$166K	$0
Jon Miller	MT	Family Medicine Physician	$163.6K	$0
Courtney Austin	MT	Internal Medicine Physician	$134.2K	$0
Hikmat Maaliki	MT	Family Medicine Physician	$127K	$0
Jeremy Jennings	MT	Internal Medicine Physician	$119.2K	$0
Robert Nitschelm	MT	Family Medicine Physician	$108.5K	$0
Karen Vesely	MT	Family Medicine Physician	$102.1K	$0

Mallery Knoll — Billing Profile & Reimbursement Data

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Mallery Knoll — 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

Frequently Asked Questions

References