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

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

Kimberly Scheffel (NPI 1386187854)

Field	Value
Entity Type	Individual
Organization	Kimberly Scheffel
Address	9925 Haynes Bridge Rd
City	Alpharetta
State	GA
ZIP	30022
Taxonomy	Family Nurse Practitioner
NPI Enumerated	November 30, 2016

Payer Source	Total Paid
Medicare	$51.3K
Medicaid	$0

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
J1306	Injection, inclisiran, 1 mg	5,400	$10	$48.6K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	50	$10	$410

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.

View: State1 / 2

Claims Volume vs. Georgia Distribution

Kimberly Scheffel — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J1306	10	10	10,220	$10	$266.3K
96372	1,525	2,930	50	$10	$850

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Molly Denton	TN	Adult Medicine Physician	$1.4M	$0
Krista Harmon	TN	Family Nurse Practitioner	$1.1M	$0
Deena Cantrill	TN	Family Nurse Practitioner	$609.8K	$0
Kristen Mills	TN	Family Nurse Practitioner	$540.7K	$0
Meredith Barnett	TN	Family Nurse Practitioner	$457.2K	$100
Brittany Harris	TN	Family Nurse Practitioner	$441.3K	$0
Katherine Beck	TN	Adult Health Nurse Practitioner	$423.6K	$0
Anne Hensley	TN	Nurse Practitioner	$410.9K	$0
Heather Cooper	TN	Family Nurse Practitioner	$174.4K	$0
Joseph Weathersby	TN	Physician Assistant	$96.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northside Psychological Services, Inc.	GA	Mental Health Counselor	$0	$11.3M
Mylene Lilian Gonzales	GA	Gerontology Nurse Practitioner	$4.1M	$0
The World Of Pediatrics	GA	Pediatrics Physician	$0	$930.7K
Tendercare Pediatrics	GA	Pediatrics Physician	$0	$531.4K
Brenda Jean-baptiste	GA	Professional Counselor	$0	$385.8K
Thomas Backer	GA	Cardiovascular Disease Physician	$379.5K	$0
Dalma Torres	GA	General Practice Dentistry	$0	$377.9K
Thomas Bat	GA	Family Medicine Physician	$227.3K	$0
Terence Moraczewski	GA	Family Medicine Physician	$215.4K	$0
Ayesha Harrell	GA	Professional Counselor	$0	$195.5K

Kimberly Scheffel — Billing Profile & Reimbursement Data

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Kimberly Scheffel — 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