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.

Karlene Hylton (NPI 1376546168)

Field	Value
Entity Type	Individual
Organization	Karlene Hylton
Address	464 Wolcott Rd
City	Wolcott
State	CT
ZIP	06716
Taxonomy	Family Nurse Practitioner
NPI Enumerated	May 24, 2005

Payer Source	Total Paid
Medicare	$79.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 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…	630	$70	$46.8K
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…	150	$110	$15.4K
99316	The provider sees a patient for nursing facility discharge management requiring more than 30 minutes.	130	$90	$11.5K
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…	120	$50	$6.3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Connecticut Distribution

Karlene Hylton — 1 of 4 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

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	139	550	260	$80	$31.3K
99308	310	510	190	$50	$20K
99310	84	280	80	$110	$12.7K
99316	5	170	30	$90	$4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hdc Care Solutions, LLC	MA	Nurse Practitioner	$0	$8M
Naresh Dasari	RI	Internal Medicine Physician	$199.5K	$7M
Jun Parks	RI	Internal Medicine Physician	$74.6K	$5M
Inhouse Care LLC	CT	Primary Care Clinic/Center	$0	$3.4M
Joseph Alessandro	CT	Hospice and Palliative Medicine (Family Medicine) Physician	$38.1K	$1.3M
Landry Deuboue	MD	Primary Care Nurse Practitioner	$749.9K	$0
Samuel Asomaning	CT	Adult Health Nurse Practitioner	$675.6K	$0
Colleen Mikula	MI	Adult Health Nurse Practitioner	$117.6K	$349.9K
Patrick Antoine	GA	Internal Medicine Physician	$333.8K	$0
Terrell Bond	IN	Family Medicine Physician	$309.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wolcott Volunteer Ambulance Association, Inc	CT	Land Ambulance	$171K	$686K
Marc Raad	CT	Internal Medicine Physician	$252.2K	$0
David Mullen	CT	Podiatrist	$168.1K	$0
David Suhocki	CT	Physician Assistant	$85.9K	$0
Cathy Lanoie	CT	Adult Health Nurse Practitioner	$40.7K	$0

Karlene Hylton — Billing Profile & Reimbursement Data

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Karlene Hylton — 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