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

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

Susan Plante (NPI 1285669127)

Field	Value
Entity Type	Individual
Organization	Susan Plante
Address	115 Main St
City	North Easton
State	MA
ZIP	02356
Taxonomy	Psychiatric/Mental Health Clinical Nurse Specialist
NPI Enumerated	July 11, 2006

Payer Source	Total Paid
Medicare	$71.3K
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…	520	$80	$43.1K
90836	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient in addition to an evaluation and management service in the…	430	$60	$25.1K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	90	$40	$3.3K

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. Massachusetts Distribution

Susan Plante — 1 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,116	15,410	110	$80	$15.6K
90836	8	160	110	$70	$10.5K
90833	210	390	100	$50	$7.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Town Of Easton	MA	Ambulance	$306.3K	$695.1K
Kyung Hee Chang	MA	MOHS-Micrographic Surgery Physician	$526.4K	$0
James Fitzgerald	MA	Urology Physician	$422.1K	$0
Jason Fanuele	MA	Orthopaedic Surgery Physician	$349.6K	$0
Padraic Mccahill	MA	Urology Physician	$334.4K	$0
Ryan Frankel	MA	Urology Physician	$304K	$0
David Worman	MA	Specialist	$291.7K	$0
Natalya Lopushnyan	MA	Urology Physician	$280.8K	$0
Anthony Wong	MA	Pain Medicine Physician	$244.6K	$0
Jonathan Brajtbord	MA	Urology Physician	$227K	$0

Susan Plante — Billing Profile & Reimbursement Data

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Susan Plante — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References