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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

Jennifer Price (NPI 1285972778)

Field	Value
Entity Type	Individual
Organization	Jennifer Price
Address	158 Country Club Rd
City	Whiteville
State	NC
ZIP	28472
Taxonomy	Assistant Behavior Analyst
NPI Enumerated	January 18, 2013

Payer Source	Total Paid
Medicare	$72.9K
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
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	1,040	$40	$45.6K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	380	$60	$21.9K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	60	$100	$6.2K

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. North Carolina Distribution

Jennifer Price — 1 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90832	9	190	90	$40	$12.3K
90834	14	260	70	$60	$7.1K
90791	72	480	20	$100	$3.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Innovations	NC	Community/Behavioral Health Agency	$0	$73.8M
Carolinas Home Care Agency, Inc.	NC	Community/Behavioral Health Agency	$0	$45.9M
Advantage Behavioral Healthcare Inc.	NC	Mental Health Counselor	$0	$20.1M
Columbus Regional Healthcare System	NC	General Acute Care Hospital	$0	$17.2M
Homecare Management Corporation	NC	Community/Behavioral Health Agency	$0	$16.8M
Interim Healthcare Of The Eastern Carolinas, Inc	NC	In Home Supportive Care Agency	$0	$10.9M
Rachel Tedesco	NC	Nurse Practitioner	$5.7M	$0
Jeffrey Coury	NC	Facial Plastic Surgery Physician	$508.5K	$0
Rene Bermudez	NC	MOHS-Micrographic Surgery Physician	$460.6K	$0
David Sutton	NC	Ophthalmology Physician	$437.5K	$6.7K

Jennifer Price — Billing Profile & Reimbursement Data

Sign up for Jennifer Price — Billing Profile & Reimbursement Data policy alerts

Jennifer Price — Billing Profile & Reimbursement Data

Sign up for Jennifer Price — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References