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

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

Mary Clemons (NPI 1285661074)

Field	Value
Entity Type	Individual
Organization	Mary Clemons
Address	1000 Mckinley Park Dr
City	Marion
State	OH
ZIP	43302
Taxonomy	Certified Registered Nurse Anesthetist
NPI Enumerated	June 27, 2006

Payer Source	Total Paid
Medicare	$21.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
00910	The provider performs anesthesia services for a patient undergoing transurethral procedures including urethrocystoscopy. The surgical provider may examine the organs of the urinary system from within…	80	$80	$6.6K
00902	The provider performs anesthesia services for a procedure involving the anus or rectum.	40	$110	$4.5K
00873	The provider performs anesthesia services for lithotripsy, extracorporeal shock wave, without water bath.	30	$150	$4.4K
00918	The provider performs anesthesia services for a patient undergoing fragmentation, manipulation, and/or removal of a ureteral calculus. The surgical provider accesses the ureter through the urethra,…	20	$140	$2.6K
00920	The provider performs anesthesia services for a patient undergoing a procedure on male genitalia that is not specified by any other anesthesia code. As part of the procedure, the provider may incise…	10	$160	$1.8K
00912	The provider performs anesthesia services for a patient undergoing excision of one or more tumors within the bladder performed through the urethra, which is the opening for the outflow of urine.	10	$140	$1.5K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Ohio Distribution

Mary Clemons — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
00902	6	60	20	$80	$1.9K
00873	2	20	20	$100	$1.8K
00918	15	50	20	$100	$1.8K
00920	1	10	10	$150	$1.7K
00912	12	20	10	$90	$1.4K
00910	6	270	20	$60	$1.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nadeem Moghal	OH	Interventional Pain Medicine Physician	$189.3K	$0
James Otting	OH	Interventional Pain Medicine Physician	$101.4K	$0
Benjamin Tritle	OH	Diagnostic Radiology Physician	$78.8K	$0
Rudra Pampati	KY	Vascular & Interventional Radiology Physician	$55.4K	$0
Dalton Griffin	OH	Certified Registered Nurse Anesthetist	$49K	$0
Amber Brown	OH	Certified Registered Nurse Anesthetist	$45.1K	$0
Christine Robbins	OH	Certified Registered Nurse Anesthetist	$40.8K	$0
Michael Smith	KY	Certified Registered Nurse Anesthetist	$29.3K	$0
Dora Green	PA	Certified Registered Nurse Anesthetist	$26.7K	$0
Catherine Wood	MN	Certified Registered Nurse Anesthetist	$23.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Incare Health Solutions LLC	OH	Internal Medicine Physician	$0	$40.1M
Marion General Hospital, Inc.	OH	General Acute Care Hospital	$0	$36.4M
Marion Area Physicians LLC	OH	Internal Medicine Physician	$0	$15.7M
Sang Pham	OH	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$10.8M
Center Street Community Clinic Inc	OH	Federally Qualified Health Center (FQHC)	$0	$10.4M
City Of Marion Auditor	OH	Land Ambulance	$372K	$1.7M
Parminder Singh	OH	Internal Medicine Physician	$737.5K	$0
George Drew	OH	Dermatology Physician	$531K	$33.2K
New Horizons Surgery Center LLC	OH	Ambulatory Surgical Clinic/Center	$396.2K	$44.4K
Adil Katabay	OH	Pain Medicine (Anesthesiology) Physician	$390.5K	$0

Mary Clemons — Billing Profile & Reimbursement Data

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Mary Clemons — 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