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

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

Elizabeth Reynolds (NPI 1376101832)

Field	Value
Entity Type	Individual
Organization	Elizabeth Reynolds
Address	905 S Main St
City	Cheshire
State	CT
ZIP	06410
Taxonomy	Family Nurse Practitioner
NPI Enumerated	May 30, 2019

Payer Source	Total Paid
Medicare	$16.1K
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
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…	90	$80	$6.9K
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…	110	$60	$6K
54235	The provider injects pharmacologic agents such as papaverine, phentolamine, or prostaglandin E1 into the corpora cavernosa of the penis. He performs this procedure to treat patients with erectile…	20	$50	$1.1K
51798	Providers perform this ultrasound to measure the volume of residual urine in the bladder.	110	$10	$980
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	30	$30	$960
81003	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…	100	$1	$200

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. Connecticut Distribution

Elizabeth Reynolds — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	3,345	6,480	90	$90	$14.2K
99213	2,333	6,440	70	$60	$8.1K
99212	612	1,340	30	$40	$2.2K
51798	71	130	120	$10	$1.4K
54235	2	10	20	$50	$1.1K
81003	105	580	30	$1	$190

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
All Pointe Homecare LLC	CT	Home Health Agency	$0	$72.6M
Cheshire Fitness Zone, LLC	CT	Pediatric Physical Therapist	$0	$11.3M
Perspectives Center For Care, Inc.	CT	Marriage & Family Therapist	$0	$5.2M
Fun 2b Free LLC	CT	Behavior Analyst	$0	$4.5M
Restoring You Wellness Center LLC	CT	Clinical Social Worker	$0	$2.3M
Ct Kids Matter LLC	CT	Community/Behavioral Health Agency	$0	$2.1M
Grand Medical LLC	CT	Internal Medicine Physician	$0	$1.2M
Comprehensive Pain Clinic PC	CT	Interventional Pain Medicine Physician	$0	$1.1M
Connecticut Behavioral Health, LLC	CT	Professional Counselor	$0	$1.1M
Duarte Machado	CT	Neurology Physician	$390.7K	$0

Elizabeth Reynolds — Billing Profile & Reimbursement Data

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Elizabeth Reynolds — 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