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.

Ginette Peterson (NPI 1346628351)

Field	Value
Entity Type	Individual
Organization	Ginette Peterson
Address	600 Highland Ave
City	Madison
State	WI
ZIP	53792
Taxonomy	Certified Registered Nurse Anesthetist
NPI Enumerated	May 11, 2015

Payer Source	Total Paid
Medicare	$7.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
01214	The provider performs anesthesia services for a patient undergoing an open total hip arthroplasty.	20	$130	$2.2K
01402	The provider performs anesthesia services for a patient undergoing an open or arthroscopic total knee arthroplasty.	20	$120	$1.8K
01638	The provider performs anesthesia services for a patient undergoing replacement of the shoulder joint.	10	$140	$1.6K
00320	The provider performs anesthesia services for a patient undergoing any procedure on the esophagus, thyroid, larynx, trachea and lymphatic system of the neck when the patient is one year or older.	10	$120	$1.5K
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	$50	$590

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wisconsin Distribution

Ginette Peterson — 0 of 5 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

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
01402	130	230	20	$160	$3.3K
01638	14	20	10	$210	$3K
01214	37	110	10	$160	$2.7K
00320	8	20	10	$140	$2.7K
00811	512	610	20	$70	$2K

Ginette Peterson — Billing Profile & Reimbursement Data

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Ginette Peterson — 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