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

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

Kimberly Payne (NPI 1326429341)

Field	Value
Entity Type	Individual
Organization	Kimberly Payne
Address	3200 E Racine St
City	Janesville
State	WI
ZIP	53546
Taxonomy	Speech-Language Pathologist
NPI Enumerated	June 16, 2015

Payer Source	Total Paid
Medicare	$15.2K
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
97130	The provider works directly one–on–one with the patient to help him improve cognitive functions such as thinking, remembering, reasoning, and problem solving and the ability to plan, organize, and…	230	$20	$3.5K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	60	$60	$3.3K
92611	The provider conducts a study on the inside of the mouth, the voice box, and the food pipe using cine or video recording. He checks whether the patient can swallow properly.	40	$70	$2.4K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	40	$60	$2K
96125	In this procedure, the provider performs standardized cognitive performance testing, which is a functional assessment test for a person with memory loss.	30	$70	$1.9K
97129	The provider works directly one–on–one with the patient to help him improve cognitive functions such as thinking, remembering, reasoning, and problem solving and the ability to plan, organize, and…	80	$20	$1.2K
92610	Code 92610 is in the Medicine/Special Otorhinolaryngologic Services Section. It involves special procedures of the ears/nose/throat. Diagnostic/treatment services not generally included in a…	10	$60	$800

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. Wisconsin Distribution

Kimberly Payne — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92526	10	10	180	$60	$17.6K
97130	9	10	880	$20	$14.2K
92507	33	40	130	$50	$11.3K
97129	10	10	340	$20	$5.5K
96125	2	10	30	$70	$3.6K
92610	6	10	30	$60	$2.6K
92611	2	10	40	$70	$2.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
County Of Rock	WI	Community/Behavioral Health Agency	$0	$26.5M
County Of Rock	WI	Community/Behavioral Health Agency	$0	$23.1M
Ssm Health Care Of Wisconsin, Inc.	WI	General Acute Care Hospital	$0	$8.4M
County Of Rock	WI	Community/Behavioral Health Agency	$0	$6.6M
County Of Rock	WI	Community/Behavioral Health Agency	$0	$5.7M
Rock Valley Community Programs, Inc.	WI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.2M
Maher Mourad	WI	Hospitalist Physician	$348.8K	$82.4K
Walgreen Co	WI	Pharmacy	$201.4K	$27.5K
Herbert Webb	WI	Optometrist	$30.4K	$132.2K
Monica Simionescu	WI	Neurology Physician	$106.8K	$46.9K

Kimberly Payne — Billing Profile & Reimbursement Data

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Kimberly 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

Nearby Providers

Frequently Asked Questions

References