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

Why is the Medicaid comparison limited to Oregon 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. Oregon (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 Mcallister (NPI 1316929821)

Field	Value
Entity Type	Individual
Organization	Mary Mcallister
Address	711 Ne Irving Ave
City	Bend
State	OR
ZIP	97701
Taxonomy	Addiction Medicine (Family Medicine) Physician
NPI Enumerated	November 18, 2005

Payer Source	Total Paid
Medicare	$35.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	170	$100	$17.9K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	60	$120	$7.8K
G0513	Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; first…	70	$60	$4.4K
G0446	Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	70	$30	$1.6K
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…	20	$70	$1.2K
G0442	Annual alcohol misuse screening, 5 to 15 minutes	60	$20	$1.1K
G0444	Annual depression screening, 5 to 15 minutes	60	$20	$1K
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	10	$20	$310

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Oregon Distribution

Mary Mcallister — 1 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oregon

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	5,534	6,070	80	$70	$10.3K
99215	140	2,170	40	$100	$6.7K
G0439	338	1,110	40	$90	$5.9K
G0447	12	10	60	$20	$2.2K
G0513	1	10	40	$60	$2.1K
G0446	2	10	40	$30	$1.5K
G0442	54	140	40	$20	$950
G0444	43	160	30	$20	$880

Mary Mcallister — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References