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

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

Karen Mailer (NPI 1346254307)

Field	Value
Entity Type	Individual
Organization	Karen Mailer
Address	910 Compassion Cir
City	Anchorage
State	AK
ZIP	99504
Taxonomy	Family Medicine Physician
NPI Enumerated	July 27, 2006

Payer Source	Total Paid
Medicare	$35K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	110	$160	$17.4K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	30	$190	$6.3K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	50	$110	$5.8K
G0317	Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary…	80	$30	$2.4K
99316	The provider sees a patient for nursing facility discharge management requiring more than 30 minutes.	10	$140	$1.8K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	20	$80	$1.3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Alaska Distribution

Karen Mailer — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alaska

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	19	40	50	$90	$16.9K
99310	4	20	50	$150	$13.4K
99306	6	10	40	$160	$8.2K
G0317	4	10	80	$30	$4.9K
99308	20	20	30	$60	$4.2K
99316	5	10	10	$130	$2.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alaska Hospitalist Group LLC	AK	Internal Medicine Physician	$0	$18.6M
Providence Health & Services - Washington	AK	Psychiatry Physician	$0	$12.7M
Providence Health & Services- Washington	AK	Critical Care Medicine (Internal Medicine) Physician	$0	$10.6M
City Of Seward	AK	Critical Access Hospital	$0	$3.2M
Providence Health & Services Washington	AK	General Acute Care Hospital	$0	$2.8M
Nadine Baker	AK	Psychologist	$523.2K	$0
Lina Bautista	AK	Child & Adolescent Psychiatry Physician	$0	$495K
Kwanghee Kim	AK	Internal Medicine Physician	$405K	$0
Michael Mullowney	AK	Hospitalist Physician	$356.4K	$0
Monica Wright	AK	Family Medicine Physician	$288.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Denali Family Services	AK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$39.2M
Assisted Living Transitions	AK	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$16.2M
Frontier Home Health Care	AK	Assisted Living Facility (Mental Illness)	$0	$11.3M
Reliance Care Inc	AK	Supports Brokerage Agency	$0	$8.4M
Denali Family Services	AK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$7.3M
Northern Light Adult Day Services, LLC	AK	Alzheimer Center (Dementia Center)	$0	$7.2M
Just Kids, Inc	AK	Pediatric Dentistry	$0	$5M
Anchorage School District	AK	Local Education Agency (LEA)	$0	$5M
Caring Companions LLC	AK	Home Health Agency	$0	$3.9M
Ad Partners Ii, LLC	AK	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.8M

Karen Mailer — Billing Profile & Reimbursement Data

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Karen Mailer — 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