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

Why is the Medicaid comparison limited to Unspecified Location 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. Unspecified Location (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 Dumas (NPI 1376874271)

Field	Value
Entity Type	Individual
Organization	Elizabeth Dumas
Address	3004 Orange Grove
City	Christiansted
State	XX (Unspecified Location)
ZIP	00820
Taxonomy	Certified Registered Nurse Anesthetist
NPI Enumerated	January 18, 2010

Payer Source	Total Paid
Medicare	$2.3K
Medicaid	$0

Key Findings

This provider has a very small Medicare footprint in the dataset, reporting Total Medicare revenue of $2.3K and no Medicaid revenue on file; in practical terms the provider is effectively single‑payer (Medicare-only) in these records and not a material revenue source for Medicaid. The absolute revenue scale is minimal, so analysts should treat patterns as reflective of low billing volume rather than a large operating practice.

Revenue is highly concentrated: the precomputed top-3 Medicare codes account for 100.0% of this provider's total Medicare revenue. Two codes drive that concentration—00731 accounts for 51.7% of Medicare revenue ($1.2K) and 00142 accounts for 48.3% ($1.1K)—indicating nearly all Medicare payments to this NPI derive from just these procedure types.

The code mix (00731 and 00142) corresponds to anesthesia for upper gastrointestinal endoscopic procedures and anesthesia for eye lens procedures, respectively. As a Certified Registered Nurse Anesthetist (CRNA), this pattern suggests the clinician provides perioperative anesthesia services across endoscopy and ophthalmology cases rather than a broad surgical mix, consistent with a role that supports specific procedural service lines (e.g., GI endoscopy and ophthalmic surgery).

Competitive standing versus national Medicare peers is modest to minimal. For 00731 the provider ranks #27713 of 39088 nationally (24th percentile), and for 00142 the provider ranks #19085 of 19760 nationally (0th percentile); these ranks and percentiles (both described as "typical, unremarkable volume") indicate the provider is not a dominant or high-volume national participant for either code.

Both reported codes are described in the source as showing "typical, unremarkable volume" relative to peers, so there are no flagged statistical outliers in this billing profile. Given that language and the low absolute revenue, the dataset does not indicate anomalous concentration beyond normal variability for low-volume providers.

The NPI was enumerated on 2010-01-18 (~16 years ago), indicating long tenure in the NPPES registry despite minimal Medicare billing recorded here. That gap between long enumeration and low lifetime Medicare revenue suggests the provider may bill other payers, work under contract (billing under different NPIs or group TINs), or have limited Medicare-covered activity.

For payers and network analysts, the combination of tiny total Medicare revenue and extreme concentration in two anesthesia codes implies limited leverage or network impact from this individual NPI. Routine credentialing or claims review should consider the low-volume profile and lack of Medicaid billing; if higher oversight is required, follow-up should focus on affiliations, group billing relationships, and non‑Medicaid commercial payer activity rather than treating this as a high-risk individual billing pattern.

Data limitations are material: the file shows no Medicaid billing and the provider's state is not provided in the dataset, constraining in‑state competitive comparisons and Medicaid analysis. Analysts seeking a fuller picture should check group/TIN-level billing, facility claims, other payer data, and state licensure/affiliation records to determine where and how this CRNA is operationally deployed.

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
00731	The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…	20	$80	$1.2K
00142	The provider performs anesthesia services for a patient undergoing an eye lens procedure.	10	$100	$1.1K

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, "XX," is a placeholder CMS uses when a provider's practice-location state wasn't reported — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

View: State1 / 2

Claims Volume vs. Unspecified Location Distribution

Elizabeth Dumas — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Unspecified Location

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
00731	2	10	20	$90	$1.5K
00142	1	10	10	$100	$1.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Governor Juan F. Luis Hospital & Medical Center	VI	General Acute Care Hospital	$0	$15.4M
Governor Juan F. Luis Hospital & Medical Center	VI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3M
Ophthalmology Consultants, PC	VI	Ophthalmology Physician	$0	$2.1M
Sherman Washington	CA	Emergency Medicine Physician	$1.7M	$0
Jennifer Roberts	IL	Emergency Medicine Physician	$52.2K	$692.5K
Kevin Stewart	VI	Ophthalmology Physician	$469.5K	$0
Angel Lake	VI	Internal Medicine Physician	$78.2K	$249.8K
Emmanuel Graham	VI	Urology Physician	$318.4K	$0
Ian Manuel Corpus	MN	Family Medicine Physician	$314.8K	$0
Eugene Kim	MN	Diagnostic Radiology Physician	$248.2K	$16.1K

Elizabeth Dumas — Billing Profile & Reimbursement Data

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Elizabeth Dumas — 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