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

Why is the Medicaid comparison limited to New Hampshire 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. New Hampshire (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.

Karen Cardoza (NPI 1386142057)

Field	Value
Entity Type	Individual
Organization	Karen Cardoza
Address	8 Commerce Dr
City	Bedford
State	NH
ZIP	03110
Taxonomy	Acute Care Nurse Practitioner
NPI Enumerated	January 29, 2018

Payer Source	Total Paid
Medicare	$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
99350	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…	30	$120	$3.6K
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…	20	$50	$830
G0318	Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary…	30	$20	$550

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. New Hampshire Distribution

Karen Cardoza — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Hampshire

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99350	19	30	40	$130	$15.4K
99497	60	70	50	$50	$3.8K
G0318	6	10	70	$20	$2.6K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Karen Jackson	FL	Acute Care Nurse Practitioner	$745.5K	$0
Laureen Berkowitz	RI	Physician Assistant	$14.5K	$232.7K
Elisabeth Butler	RI	Gerontology Nurse Practitioner	$121.1K	$6.7K
Melissa Wilson	NH	Family Nurse Practitioner	$51.3K	$0
Melinda Mallon	NH	Primary Care Nurse Practitioner	$48K	$0
Ashley Phipps	NH	Family Nurse Practitioner	$34.7K	$0
Michelle Fox	RI	Gerontology Nurse Practitioner	$28.8K	$0
Alexis Dengel	RI	Family Nurse Practitioner	$10.2K	$210

Karen Cardoza — Billing Profile & Reimbursement Data

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Karen Cardoza — 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

Frequently Asked Questions

References