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

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

Latoya Freeman (NPI 1376162586)

Field	Value
Entity Type	Individual
Organization	Latoya Freeman
Address	2050 Kenny Rd
City	Columbus
State	OH
ZIP	43221
Taxonomy	Nurse Practitioner
NPI Enumerated	April 9, 2020

Payer Source	Total Paid
Medicare	$63.1K
Medicaid	$0

Key Findings

LATOYA FREEMAN’s Medicare billing is concentrated in nursing facility evaluation and management services, with the three highest-revenue CPTs accounting for 88.5% of total Medicare revenue. The top code is 99309 (subsequent nursing facility care, moderate MDM or ≥30 minutes) which alone contributes $37.6K (59.7% of Medicare revenue), followed by 99310 ($13.1K, 20.8%) and 99497 ($5K, 8.0%), indicating a practice model focused on longitudinal facility-based care and advance care planning conversations.

The provider’s total Medicare revenue is $63.1K and there is no Medicaid billing on file, so this profile is effectively single-payer Medicare in scope; there is no Medicaid revenue to evaluate or compare against Medicare activity. This concentration implies payer mix risk if referral patterns or Medicare utilization change, since Medicaid is absent from the record.

Competitive standing on Medicare for the largest codes is modest: 99309 activity ranks #6844 of 28092 providers (76th percentile) and 99310 ranks #3741 of 12486 providers (70th percentile), which the source describes as typical, unremarkable volume for those codes. These percentiles imply the provider is an established but not dominant national participant in nursing facility E/M care relative to peers.

Several lower-volume codes further characterize the service mix: 99308 (low-level subsequent nursing facility E/M) and 99316 (nursing facility discharge management) together add clinical breadth around facility transitions and varying intensity visits, while G0438 (initial annual wellness visit) and 99406 (tobacco cessation counseling) are present at low volume. This pattern supports a workflow centered on nursing facility visits and occasional preventive or counseling encounters rather than a broad outpatient primary-care panel.

The provider’s NPI was enumerated on 2020-04-09 (~6 years ago), indicating a medium-length tenure in Medicare claims data; the billing footprint since enumeration is concentrated and consistent with sustained nursing facility practice rather than recent episodic activity. Tenure supports interpretation that the current code mix reflects an established practice pattern rather than a short-term anomaly.

Code-level statistical characterization aligns with the source labels: each of the top codes (99309, 99310, 99497) is described as “typical, unremarkable volume” at their listed percentiles, so while these codes drive most revenue they are not statistical outliers nationally. The provider’s ranks (for example, 99309 at the 76th percentile) indicate activity above median but within the range many peers report, supporting a conclusion of steady, regionally relevant nursing facility service delivery rather than unusually high utilization.

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	560	$70	$37.6K
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…	130	$100	$13.1K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	100	$50	$5K
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…	60	$50	$2.9K
99316	The provider sees a patient for nursing facility discharge management requiring more than 30 minutes.	30	$80	$2.6K
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	10	$130	$1.5K
99406	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.	20	$10	$190

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Ohio Distribution

Latoya Freeman — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	1	1,450	180	$70	$21.8K
99308	1	1,340	150	$50	$15.3K
99310	1	370	40	$100	$7.6K
99497	1	750	40	$60	$3.8K
99316	1	250	30	$90	$3.4K
G0438	1	760	20	$130	$2.9K
99406	1	190	30	$10	$430

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Radu Butuc	NM	Internal Medicine Physician	$287.9K	$0
Effat Banikarim	NM	Family Medicine Physician	$223.3K	$0
John Butchko	CO	Adult Medicine Physician	$193.5K	$0
Lisa Stolarczyk	NM	Family Medicine Physician	$140.2K	$0
Jessica Barrera	NM	Family Nurse Practitioner	$114.6K	$0
Lutfullah Baskoy	IN	Preventive Medicine/Occupational Environmental Medicine Physician	$109.2K	$0
Jill Rhymes	NM	Internal Medicine Physician	$89.8K	$0
Thaisa Swanson	NM	Nurse Practitioner	$87K	$0
Kenneth Bell	NM	Internal Medicine Physician	$79.2K	$0
Emmanuel Gallegos	NM	Emergency Medicine Physician	$73.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brian Seaman	OH	Neurological Surgery Physician	$450.4K	$0
Kathryn Shahwan	OH	MOHS-Micrographic Surgery Physician	$225.5K	$0
Dominic Mastruserio	OH	Dermatology Physician	$161.4K	$0
Mary Breckenridge	OH	Cardiovascular Disease Physician	$158.5K	$0
Ward Buster	OH	Neurological Surgery Physician	$145.1K	$0
The Tamarkin Company	OH	Community/Retail Pharmacy	$135.6K	$0
David Hinkle	OH	Neurology Physician	$128.5K	$0
Angela Blose	OH	Family Nurse Practitioner	$101.2K	$0
William Pease	OH	Physical Medicine & Rehabilitation Physician	$92.3K	$0
Amy Glenn	OH	Adult Health Nurse Practitioner	$84.3K	$0

Latoya Freeman — Billing Profile & Reimbursement Data

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Latoya Freeman — 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

Nearby Providers

Frequently Asked Questions

References