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

Why is the Medicaid comparison limited to Unspecified Location 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. Unspecified Location (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.

Priscilla Patterson (NPI 1316958416)

Field	Value
Entity Type	Individual
Organization	Priscilla Patterson
Address	Na
City	Na
State	XX (Unspecified Location)
ZIP	00000
Taxonomy	Certified Registered Nurse Anesthetist
NPI Enumerated	August 11, 2006

Payer Source	Total Paid
Medicare	$10.7K
Medicaid	$0

Key Findings

The provider’s procedure mix is concentrated in anesthesia for gastrointestinal endoscopic procedures, consistent with the Certified Registered Nurse Anesthetist taxonomy and the listed CPT/HCPCS descriptions. The highest-revenue code, 00812, is anesthesia for a screening colonoscopy, and the remaining top codes (00813, 00731, 00811) all describe anesthesia for upper and/or lower endoscopic GI procedures, indicating this practitioner primarily operates in procedural sedation/anesthesia for endoscopy.

Medicare revenue is small in absolute terms at $10.7K and highly concentrated: the precomputed top-3 Medicare codes by revenue account for 91.1% of this provider’s total Medicare revenue. This concentration means the provider’s Medicare performance and cash flow are heavily dependent on a narrow set of endoscopy-related anesthesia services.

Code 00812 is the dominant single revenue source with 67 claims, an average paid per claim of $101, and $6.8K in revenue, representing 63.0% of the provider’s Medicare revenue. National rank for 00812 is #1542 of 16489 (90th percentile), and the dataset labels this volume as "typical, unremarkable volume for this code," so while 00812 drives most revenue, the provider’s activity is not flagged as an unusually high outlier for that service.

The next two contributors are 00813 (17 claims, $115 avg paid/claim, $2K revenue; 18.2% of Medicare revenue; rank #8237 of 16000, 44th percentile) and 00731 (11 claims, $97 avg paid/claim, $1.1K revenue; 9.9% of Medicare revenue; rank #36561 of 39088, 0th percentile). A fourth code, 00811, also appears (11 claims, $87 avg paid/claim, $957 revenue; 8.9% of Medicare revenue; rank #29022 of 30986, 0th percentile). All four codes are described in the source as "typical, unremarkable volume for this code," indicating no individual code shows a labeled statistical anomaly.

On competitive standing, national ranks and percentile positions indicate the provider is a modest participant rather than a dominant national player for these anesthesia-for-endoscopy codes. Except for 00812 (90th percentile), the other codes fall in mid- to low-percentile ranks (44th and 0th percentiles), so this provider does not appear to be a top-volume competitor across the broader national peer set.

Payer mix is effectively single-payer: Medicare revenue is $10.7K and there is no Medicaid billing on file. This lack of Medicaid activity means the provider’s public-payer exposure is concentrated entirely on Medicare, which has implications for contracting focus and reimbursement risk if payer mix were to shift.

The provider has been enumerated for a long time (NPI enumerated 2006-08-11, approximately 20 years ago), yet cumulative reported Medicare revenue is modest. Long tenure combined with low lifetime Medicare revenue suggests either limited Medicare-facing volume, practice patterns focused on non-Medicare patients, or episodic Medicare billing rather than large-scale Medicare service delivery.

No top-code is labeled as an extreme outlier or notably above typical; the available descriptors uniformly call the volumes "typical, unremarkable volume for this code." This pattern reinforces that the provider’s billing profile is narrow and low in scale but not statistically exceptional within the national datasets for these anesthesia/endoscopy codes.

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
00812	The provider performs anesthesia services for a patient undergoing a screening colonoscopy during which the surgical provider introduces an endoscope into the intestines below the duodenum, the part…	70	$100	$6.8K
00813	The anesthesia provider performs anesthesia services for a patient undergoing both upper and lower intestinal endoscopy where the surgical provider introduces an endoscope into the intestines above…	20	$120	$2K
00731	The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…	10	$100	$1.1K
00811	The provider performs anesthesia services for a patient undergoing an unspecified lower intestinal endoscopic procedure where the surgical provider introduces an endoscope into the intestines up to…	10	$90	$960

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes. Note: this provider's state, "XX," is a placeholder CMS uses when a provider's practice-location state wasn't reported — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

View: State1 / 2

Claims Volume vs. Unspecified Location Distribution

Priscilla Patterson — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Unspecified Location

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
00812	1	10	20	$100	$3.4K
00811	3	10	20	$100	$2.3K
00813	1	10	20	$120	$1.8K
00731	4	10	20	$90	$1.5K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kirk Mitchell	CO	Geriatric Medicine (Internal Medicine) Physician	$27.1M	$1M
Novamed Surgery Center Of Denver LLC	CO	Ambulatory Surgical Clinic/Center	$2M	$248.7K
Novamed Surgery Center Of Colorado Springs, LLC	CO	Ambulatory Surgical Clinic/Center	$983.3K	$636.3K
Lincoln Pao	CO	Radiation Oncology Physician	$745.3K	$0
Mark Howshar	WY	Body Imaging Physician	$478.7K	$0
Daniel Possehn	WY	Diagnostic Radiology Physician	$321.6K	$0
Samuel Jeng	CO	Ophthalmology Physician	$307.8K	$0
Mark Dziemianowicz	CO	Radiation Oncology Physician	$293.3K	$0
Praveen Budde	LA	Family Medicine Physician	$248.4K	$330
Kelly Lindauer	CO	Diagnostic Radiology Physician	$180.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nicholas Batley	—	Family Medicine Physician	$32.6K	$0
Ranjith Ramasamy	—	Urology Physician	$10.1K	$0

Priscilla Patterson — Billing Profile & Reimbursement Data

Sign up for Priscilla Patterson — Billing Profile & Reimbursement Data policy alerts

Priscilla Patterson — Billing Profile & Reimbursement Data

Sign up for Priscilla Patterson — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References