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

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

Ashley Ward (NPI 1285248591)

Field	Value
Entity Type	Individual
Organization	Ashley Ward
Address	408 N State Of Franklin Rd Ste 12
City	Johnson City
State	TN
ZIP	37604
Taxonomy	Family Nurse Practitioner
NPI Enumerated	September 3, 2020

Payer Source	Total Paid
Medicare	$22.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	190	$40	$7.7K
97597	The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,…	290	$20	$6K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	230	$20	$5.1K
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…	50	$60	$2.7K
97598	After debriding the initial 20 cm2 at the same encounter, the provider excises devitalized (dead) tissue from an open wound. He may use a variety of techniques that include sharp debridement with…	40	$20	$620

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Tennessee Distribution

Ashley Ward — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	8,559	11,370	120	$80	$16.6K
99213	2,606	11,030	80	$50	$8K
97597	11	140	60	$50	$5.1K
99212	83	2,140	30	$30	$2K
97598	10	10	70	$20	$1.9K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wellmont Medical Associates Inc	TN	Pulmonary Disease Physician	$0	$27.8M
Wellmont Medical Associates Inc	VA	Family Medicine Physician	$0	$24.6M
Takoma Regional Hospital Inc	TN	General Acute Care Hospital	$0	$20.1M
Blue Ridge Medical Management Corporation	TN	Family Nurse Practitioner	$0	$8M
Wellmont Cardiology Services	TN	Cardiovascular Disease Physician	$0	$3.1M
Blue Ridge Medical Management Corporation	TN	Pediatrics Physician	$0	$2.9M
Blue Ridge Medical Management Corporation	TN	Internal Medicine Physician	$0	$2.8M
Blue Ridge Medical Managgement Corporation	TN	Internal Medicine Physician	$0	$2.2M
Sos Nalghranyan	FL	Hematology & Oncology Physician	$1.1M	$0
Martin Palmeri	NC	Hematology & Oncology Physician	$931.8K	$0

Ashley Ward — Billing Profile & Reimbursement Data

Sign up for Ashley Ward — Billing Profile & Reimbursement Data policy alerts

Ashley Ward — Billing Profile & Reimbursement Data

Sign up for Ashley Ward — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References