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

Why is the Medicaid comparison limited to West Virginia 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. West Virginia (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.

Mary Payne (NPI 1316138324)

Field	Value
Entity Type	Individual
Organization	Mary Payne
Address	1600 Medical Center Dr
City	Huntington
State	WV
ZIP	25701
Taxonomy	Neurology with Special Qualifications in Child Neurology Physician
NPI Enumerated	August 5, 2007

Payer Source	Total Paid
Medicare	$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
95720	A physician or other QHCP reviews recorded events and analyzes spike and seizure detection of a continuous electroencephalography, a study of the electrical activity of the brain. A video is…	50	$160	$7.8K
95812	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. Extended monitoring is a routine…	20	$40	$630
95816	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	20	$40	$630

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. West Virginia Distribution

Mary Payne — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
95816	11	10	20	$140	$15K
95720	4	10	50	$150	$8.3K
95812	6	10	20	$80	$1.5K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Children's Mercy Hospital	MO	Children's Hospital	$0	$221M
The Children's Mercy Hospital	MO	Pediatrics Physician	$0	$53.6M
The Children's Mercy Hospital	MO	Durable Medical Equipment & Medical Supplies	$0	$28.3M
The Children's Mercy Hospital	KS	Children's Hospital	$0	$22.3M
Monongalia County General Hospital Company	WV	General Acute Care Hospital	$0	$16.3M
The Children's Mercy Hospital	MO	Ambulance	$0	$13.4M
Children's Mercy-community Choice Pediatrics	MO	Pediatrics Physician	$0	$9M
David Dyer	KS	Ophthalmology Physician	$7.5M	$0
Monongalia County General Hospital Company	WV	Specialist	$0	$6.8M
Children's Mercy-cockerell And Mcintosh Pediatrics, Inc	MO	Pediatrics Physician	$0	$6.3M

Mary Payne — Billing Profile & Reimbursement Data

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Mary Payne — 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

Frequently Asked Questions

References