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

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

Maureen Higgins (NPI 1336815935)

Field	Value
Entity Type	Individual
Organization	Maureen Higgins
Address	200 Quinn Dr Ste 160
City	Pittsburgh
State	PA
ZIP	15275
Taxonomy	Family Nurse Practitioner
NPI Enumerated	August 23, 2021

Payer Source	Total Paid
Medicare	$9.9K
Medicaid	$0

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
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	120	$50	$5.9K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	40	$60	$2.7K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	30	$40	$1.2K
81002	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…	20	$1	$60

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.

View: State1 / 2

Claims Volume vs. Pennsylvania Distribution

Maureen Higgins — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	583	22,370	70	$60	$7.7K
99203	201	7,330	30	$70	$3.5K
87426	4	400	20	$30	$1.4K
81002	8	1,520	20	$1	$190

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
American Advanced Practice Network, P.C.	SD	Nurse Practitioner	$0	$403.2K
T & L Quick Care PC	SD	Acute Care Nurse Practitioner	$0	$224.5K
Modern Day Health Care Prof LLC	SD	Multi-Specialty Clinic/Center	$0	$36.6K
Maura Doran-snyder	CO	Family Medicine Physician	$33K	$0
Janet Masters	AZ	Nurse Practitioner	$22.7K	$0
Stefanie Robinson	SD	Acute Care Nurse Practitioner	$19.5K	$0
Holly Gisi-york	MN	Nurse Practitioner	$15.9K	$0
Heidi Barber	SD	Nurse Practitioner	$12K	$0
Tammy Vande Kamp	SD	Psychiatric/Mental Health Nurse Practitioner	$10.1K	$0
Abbie Entringer	SD	Family Nurse Practitioner	$8.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pantherx Specialty LLC	PA	Specialty Pharmacy	$0	$64.9M
Pantherx Specialty LLC	PA	Specialty Pharmacy	$0	$22.6M
Qualitox Laboratories, LLC	PA	Clinical Medical Laboratory	$1M	$16.9M
Annemarie Hartbauer	PA	Nurse Practitioner	$104.4K	$3.6K
Christine Henney	PA	Family Nurse Practitioner	$99.2K	$1.8K

Maureen Higgins — Billing Profile & Reimbursement Data

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Maureen Higgins — 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