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

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

Caroline Beall (NPI 1306080213)

Field	Value
Entity Type	Individual
Organization	Caroline Beall
Address	4000 Wellness Dr
City	Midland
State	MI
ZIP	48670
Taxonomy	Sports Medicine (Family Medicine) Physician
NPI Enumerated	April 22, 2009

Payer Source	Total Paid
Medicare	$20.3K
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…	150	$70	$9.9K
98926	The provider performs controlled manual pressure in three to four body regions to treat somatic and nonsomatic disorders.	100	$30	$3.5K
99203	The provider sees a new 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 provider…	40	$80	$3K
98927	The provider performs controlled manual pressure in five to six body regions to treat somatic and nonsomatic disorders.	60	$40	$2.4K
99204	The provider sees a new 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 provider…	10	$120	$1.6K

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. Michigan Distribution

Caroline Beall — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	3,309	14,810	60	$60	$6.6K
99204	5,418	6,280	30	$110	$4.2K
98927	26	50	60	$40	$3.1K
99203	1,752	4,560	30	$70	$3K
98926	10	50	50	$30	$2.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mymichigan Medical Center Midland	MI	General Acute Care Hospital	$0	$50M
Mymichigan Medical Center Midland	MI	Multi-Specialty Clinic/Center	$0	$24.3M
Mymichigan Medical Center Midland	MI	General Acute Care Hospital	$0	$9.9M
Mymichigan Medical Group	MI	Multi-Specialty Clinic/Center	$0	$8.1M
Mymichigan Medical Center Midland	MI	Emergency Medicine Physician	$0	$7.2M
William Michael Mellana	MI	Clinical Cardiac Electrophysiology Physician	$156.2K	$0
Remi Hamel	MI	Dermatology Physician	$126.6K	$0
Adam Pinney	MI	Sports Medicine (Family Medicine) Physician	$109.9K	$0
Rajnikant Mehta	MI	Radiation Oncology Physician	$98.3K	$0
Rajesh Kotecha	MI	Radiation Oncology Physician	$92.5K	$0

Caroline Beall — 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