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

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

Norma Bernal (NPI 1316595424)

Field	Value
Entity Type	Individual
Organization	Norma Bernal
Address	899 N Wilmot Rd Ste D6
City	Tucson
State	AZ
ZIP	85711
Taxonomy	Family Nurse Practitioner
NPI Enumerated	September 1, 2019

Payer Source	Total Paid
Medicare	$352.7K
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
J3380	Injection, vedolizumab, intravenous, 1 mg	13,200	$20	$224.4K
J3111	Injection, romosozumab-aqqg, 1 mg	9,240	$10	$73.9K
J0897	Injection, denosumab, 1 mg	2,640	$20	$47.5K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	120	$40	$4.4K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	140	$10	$1.1K

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. Arizona Distribution

Norma Bernal — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arizona

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J3111	31	40	19,530	$10	$178.8K
J3380	2	20	6,600	$20	$134.4K
J0897	139	260	2,940	$20	$115.6K
96365	61	280	60	$50	$4.9K
96372	257	1,560	40	$10	$1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Metro Infectious Disease Consultants, LLC	IL	Infectious Disease Physician	$0	$44.3M
Natalia Surowaniec	IL	Family Nurse Practitioner	$2.1M	$0
Martha Pawlukowsky	IL	Family Nurse Practitioner	$2M	$1.3K
Margaret Denham	IN	Nurse Practitioner	$1.7M	$0
Marie Rodriguez	IL	Gerontology Nurse Practitioner	$1.7M	$0
Walter Marbach	IL	Rheumatology Physician	$1.6M	$53.2K
Brooke Raney	IA	Family Nurse Practitioner	$1.6M	$0
Kristin Elatkin	IL	Family Nurse Practitioner	$1.6M	$5K
Robert Scribner	MI	Gerontology Nurse Practitioner	$1.5M	$0
Vishnu Chundi	IL	Infectious Disease Physician	$978.9K	$354.9K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
United Cerebral Palsy Of Southern Arizona, Inc	AZ	Home Health Agency	$0	$131.1M
Arizona Consumer Direct Personal Care	AZ	Home Health Agency	$0	$121.6M
Smsj Tucson Holdings LLC	AZ	General Acute Care Hospital	$0	$28.9M
Southern Arizona Family Services, Inc.	AZ	In Home Supportive Care Agency	$0	$28.5M
Cope Community Services, Inc.	AZ	Methadone Clinic	$0	$27.5M
Dependable Nurses, Inc.	AZ	Home Health Agency	$0	$26.5M
Radiology Ltd., LLC	AZ	Diagnostic Radiology Physician	$0	$24.2M
Intermountain Health Center Inc	AZ	Multi-Specialty Clinic/Center	$0	$22.9M
Arizona Community Physicians PC	AZ	Internal Medicine Physician	$0	$22.5M
Marana Health Center, Inc	AZ	Federally Qualified Health Center (FQHC)	$0	$15.2M

Norma Bernal — Billing Profile & Reimbursement Data

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Norma Bernal — 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