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

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

Kathy Santon (NPI 1306897913)

Field	Value
Entity Type	Individual
Organization	Kathy Santon
Address	192 N State Road 267
City	Avon
State	IN
ZIP	46123
Taxonomy	Psychiatric/Mental Health Clinical Nurse Specialist
NPI Enumerated	May 16, 2006

Payer Source	Total Paid
Medicare	$19K
Medicaid	$0

Medicare: Complete Services Breakdown

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

2 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…	200	$70	$13K
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…	170	$40	$6.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Indiana Distribution

Kathy Santon — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	3,513	10,540	110	$80	$15.5K
90833	6	60	50	$50	$3.6K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cummins Behavioral Health Systems, Incorporated	IN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$108.5M
Indiana University Health West Hospital Inc	IN	General Acute Care Hospital	$0	$16M
Hendricks County Hospital	IN	Urgent Care Clinic/Center	$0	$3.5M
Kids Dentistree Of In, LLC	IN	Pediatric Dentistry	$0	$2.7M
Washington Township Trustee	IN	Land Ambulance	$477.9K	$1.3M
David Nathan	IN	Dermatology Physician	$416.1K	$0
Shelly Earlywine	IN	Family Nurse Practitioner	$405.2K	$0
Indiana Endoscopy Centers LLC	IN	Ambulatory Surgical Clinic/Center	$268K	$3.5K
Christopher Doran	IN	Pain Medicine (Anesthesiology) Physician	$237.8K	$0
Robert Mcpike	IN	Optometrist	$193.8K	$0

Kathy Santon — Billing Profile & Reimbursement Data

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Kathy Santon — 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