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

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

Tracey Pyles (NPI 1376596759)

Field	Value
Entity Type	Individual
Organization	Tracey Pyles
Address	3300 Gallows Rd
City	Falls Church
State	VA
ZIP	22042
Taxonomy	Emergency Medicine Physician
NPI Enumerated	May 18, 2006

Payer Source	Total Paid
Medicare	$139.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	680	$160	$107K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	120	$200	$23.5K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	80	$110	$8.8K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Virginia Distribution

Tracey Pyles — 1 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	2	1,590	120	$130	$19.9K
99291	350	1,950	50	$170	$12.2K
99284	684	1,650	70	$90	$6.9K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Georgina Johns	MD	Family Nurse Practitioner	$268.9K	$0
Christina Byam	MD	Family Nurse Practitioner	$257.6K	$0
Todd Templeman	DC	Emergency Medicine Physician	$196.1K	$0
Matthew Leonard	NC	Emergency Medicine Physician	$191.6K	$0
Adetunji Williams	MD	Emergency Medical Services (Emergency Medicine) Physician	$169.6K	$0
Brendan Carmody	MD	Emergency Medicine Physician	$167K	$0
Emily Gordon	MD	Emergency Medicine Physician	$163.6K	$0
Shannon Reeve	MD	Emergency Medicine Physician	$161.2K	$0
Betty Dinarte	AZ	Emergency Medicine Physician	$156.9K	$0
Golru Ghaffari	NY	Emergency Medicine Physician	$123.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Inova Health Care Services	VA	General Acute Care Hospital	$0	$176.6M
American Care Partners At Home Inc	VA	In Home Supportive Care Agency	$0	$87.4M
Emergency Medicine Associates P.A., P.C.	VA	Emergency Medicine Physician	$0	$85.6M
Inova Health Care Services	VA	Internal Medicine Physician	$0	$38M
Dominion Home Health Care LLC	VA	Home Health Agency	$0	$22.1M
Ne Virginia Emergency Physicians LLC	VA	Emergency Medicine Physician	$0	$15.5M
Fairfax Radiological Consultants	VA	Specialist	$0	$10.8M
American Anesthesiology Of Virginia PC	VA	Anesthesiology Physician	$0	$8.9M
Fairfax County Public Schools	VA	Local Education Agency (LEA)	$0	$8.2M
Capital Hospice	VA	Community Based Hospice Care Agency	$0	$5.8M

Tracey Pyles — Billing Profile & Reimbursement Data

Sign up for Tracey Pyles — Billing Profile & Reimbursement Data policy alerts

Tracey Pyles — Billing Profile & Reimbursement Data

Sign up for Tracey Pyles — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References