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 Armed Forces Americas for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Armed Forces Americas 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. Armed Forces Americas (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.

Claire Pollard (NPI 1356571764)

Field	Value
Entity Type	Individual
Organization	Claire Pollard
Address	590 Medical Center Road
City	Apo
State	AA (Armed Forces Americas)
ZIP	76540
Taxonomy	Nurse Practitioner
NPI Enumerated	July 20, 2009

Payer Source	Total Paid
Medicare	$2.6K
Medicaid	$0

Key Findings

The provider’s Medicare activity is concentrated in outpatient evaluation and management services: the top two codes are 99214 and 99213, which describe established-patient office or outpatient visits with moderate and low levels of medical decision making, respectively. The absence of procedure or specialty codes in the top-line billing suggests an ambulatory primary care or general outpatient practice model rather than a procedure-focused practice billing Medicare for surgeries or high-acuity interventions.

Revenue concentration is extreme within the Medicare billing that exists: the precomputed top 3 Medicare codes account for 100.0% of this provider’s total Medicare revenue, with 99214 representing $1.3K (51.7% of Medicare revenue) and 99213 representing $1.2K (48.3% of Medicare revenue). This split shows that nearly all Medicare dollars are driven by routine established-patient office visits.

This provider’s payer mix is effectively single-payer with respect to public programs: lifetime Medicare revenue is $2.6K and there is no Medicaid billing on file. Analysts should treat this entity as having negligible Medicaid exposure and analyze Medicare-only patterns when assessing public-program revenue risk or dependence.

Competitive standing on Medicare for the top codes is modest at best: 99214 ranks #433225 of 479517 providers nationally (9th percentile) and 99213 ranks #389026 of 457151 providers nationally (14th percentile), both described as "typical, unremarkable volume for this code." These rankings indicate the provider is a low-volume participant nationally for these visit codes rather than a dominant or leading practitioner.

The provider has a long-enumerated NPI (2009-07-20, ~17 years ago), but enumeration tenure has not translated into material Medicare billing volume. The combination of long tenure and minimal Medicare revenue suggests either limited Medicare-facing patient panels, billing under alternate clinicians/groups, or episodic Medicare activity rather than a high-volume individual practice.

Reported claim-level detail underscores small scale of Medicare engagement: 99214 shows 20 claims with $66 avg paid/claim generating $1.3K revenue, and 99213 shows 22 claims with $56 avg paid/claim generating $1.2K revenue. Those low claim counts and modest average payments are consistent with a low aggregate Medicare footprint and limited influence on payer-provider networks.

Both top codes are explicitly labeled in the data as "typical, unremarkable volume for this code," which aligns with the percentile rankings and modest counts; there are no statistical outlier flags in the supplied metrics. From a utilization oversight or competitive-analysis perspective, the profile demonstrates routine ambulatory billing without anomalous intensity or concentration beyond normal expectations for these E/M services.

Medicare: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	20	$70	$1.3K
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…	20	$60	$1.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes. Note: this provider's state, "AA," is a US military postal designation for Armed Forces stationed in the Americas (outside the US and Canada) — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

View: State1 / 2

Claims Volume vs. Armed Forces Americas Distribution

Claire Pollard — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Armed Forces Americas

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	2	10	160	$60	$8.9K
99214	2	10	40	$80	$3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Compass Point Emergency Physicians PLLC	TX	Emergency Medicine Physician	$0	$21.9M
Emergency Medicine Services Of Tx, PLLC	TX	Emergency Medicine Physician	$0	$15M
Michael Glassinger	LA	Emergency Medicine Physician	$1.5M	$0
Katan Patel	TX	Emergency Medicine Physician	$1.3M	$0
Mustafa Hindi	IL	Emergency Medicine Physician	$107.8K	$744.8K
Yun Chau Lee	MN	Emergency Medicine Physician	$112.5K	$316.1K
David Abebefe	TX	Emergency Medicine Physician	$209.1K	$0
Abdul Ftesi	OK	Hospitalist Physician	$183.6K	$0
Ibrahim Mansour	NY	Internal Medicine Physician	$173.4K	$0
NPI 1174724744	—	—	$148.7K	$0

Claire Pollard — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References