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 Martinson (NPI 1306941893)

Field	Value
Entity Type	Individual
Organization	Susan Martinson
Address	173 Chelsea St
City	Everett
State	MA
ZIP	02149
Taxonomy	Psychiatric/Mental Health Nurse Practitioner
NPI Enumerated	September 13, 2006

Payer Source	Total Paid
Medicare	$49.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 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	$90	$17.3K
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…	80	$120	$9.7K
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…	180	$50	$8.4K
90838	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…	70	$80	$5.5K
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…	70	$60	$4.2K
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…	30	$110	$2.8K
99205	The provider sees a new 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 provider…	10	$140	$1.9K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Massachusetts Distribution

Susan Martinson — 0 of 7 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

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	4,645	15,410	110	$80	$15.6K
90836	104	160	110	$70	$10.5K
90838	9	10	100	$80	$9.3K
99215	1,712	6,360	40	$120	$8.9K
90833	111	390	100	$50	$7.2K
99204	3,540	5,870	30	$120	$5.6K
99205	1,931	2,430	30	$160	$5.5K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Charles Howard	CO	Clinical Psychologist	$4.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Community Family, Inc.	MA	Adult Day Care Clinic/Center	$0	$11M
Everett Childrens' Dental Center PC	MA	Dental Clinic/Center	$0	$9.5M
Best Healthcare Services Inc	MA	Home Health Agency	$0	$6.1M
Karim Salem Dmd PC	MA	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$5.9M
Sean Connolly	MA	Foot Surgery Podiatrist	$176.2K	$0
Costco Wholesale Corporation	MA	Community/Retail Pharmacy	$70.9K	$0
German Crisostomo	MA	Psychiatry Physician	$42.3K	$0

Susan Martinson — Billing Profile & Reimbursement Data

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Susan Martinson — 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