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.

Barbara St Clair (NPI 1306802517)

Field	Value
Entity Type	Individual
Organization	Barbara St Clair
Address	2845 Bell St
City	Zanesville
State	OH
ZIP	43701
Taxonomy	Psychiatric/Mental Health Nurse Practitioner
NPI Enumerated	April 25, 2006

Payer Source	Total Paid
Medicare	$27.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 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…	390	$50	$19.2K
Q3014	Telehealth originating site facility fee	410	$10	$5.3K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	30	$70	$1.9K
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…	40	$40	$1.3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Ohio Distribution

Barbara St Clair — 1 of 4 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

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,932	20,010	100	$70	$11.7K
99213	14,174	20,000	70	$50	$6.6K
99215	2,763	4,950	30	$110	$5.9K
Q3014	1	20	100	$20	$2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Allwell Behavioral Health Services	OH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$35M
Anyi Asongacha	OH	Psychiatric/Mental Health Nurse Practitioner	$17.7K	$0
Sharon Lyon-paul	OH	Psychiatric/Mental Health Nurse Practitioner	$16.1K	$0
Joshua Ndematebem	OH	Psychiatric/Mental Health Nurse Practitioner	$15.4K	$0
George Moses	WA	Psychiatry Physician	$10.8K	$0
Roger Balogh	OH	Psychiatry Physician	$10.1K	$0

Nearby Providers

Other providers in the same ZIP code as Barbara St Clair, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Genesis Healthcare System	OH	General Acute Care Hospital	$0	$101.8M
Spero Health Of Ohio, LLC	OH	Substance Use Disorder Rehabilitation Clinic/Center	$0	$46M
Muskingum Valley Health Centers	OH	Federally Qualified Health Center (FQHC)	$0	$28.7M
Mid-ohio Behavioral Health LLC	OH	Mental Health Counselor	$0	$28.6M
Genesis Medical Group LLC	OH	General Practice Physician	$0	$15.2M
Genesis Emergency Physicians LLC	OH	Emergency Medicine Physician	$0	$10.8M
Muskingum Valley Health Centers	OH	Federally Qualified Health Center (FQHC)	$0	$9.7M
Genesis Primary Care Physicians LLC	OH	Family Medicine Physician	$0	$7.1M
Coler Hospice, Ltd	OH	Community Based Hospice Care Agency	$0	$6.7M
Community Ambulance Service	OH	Ambulance	$1.2M	$3.7M

Barbara St Clair — Billing Profile & Reimbursement Data

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Barbara St Clair — 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