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

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

Joette Hughes (NPI 1386676047)

Field	Value
Entity Type	Individual
Organization	Joette Hughes
Address	217 Harrisburg Ave
City	Lancaster
State	PA
ZIP	17603
Taxonomy	Adult Health Nurse Practitioner
NPI Enumerated	July 6, 2006

Payer Source	Total Paid
Medicare	$193.7K
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
J1306	Injection, inclisiran, 1 mg	19,310	$10	$173.8K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	130	$70	$8.9K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	20	$100	$2.2K
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…	70	$10	$660

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. Pennsylvania Distribution

Joette Hughes — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J1306	4	20	8,800	$10	$155K
99214	10,186	23,230	100	$80	$14.5K
99215	5,009	7,170	40	$120	$8.6K
96372	501	1,480	50	$10	$1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Matthew Bernabei	PA	Clinical Cardiac Electrophysiology Physician	$248.7K	$2.8K
R Pulliam	PA	Clinical Cardiac Electrophysiology Physician	$243.1K	$2.4K
Jeffrey Arkles	PA	Clinical Cardiac Electrophysiology Physician	$235.3K	$120
Sandeep Bansal	PA	Clinical Cardiac Electrophysiology Physician	$229.5K	$2.9K
Douglas Gohn	PA	Clinical Cardiac Electrophysiology Physician	$184.2K	$0
Jonathan Nachtigall	PA	Interventional Cardiology Physician	$157K	$17.3K
T Raymond Foley	PA	Interventional Cardiology Physician	$148.9K	$7K
Rahul Jhaveri	PA	Interventional Cardiology Physician	$140.2K	$14.3K
Ross Biggs	PA	Cardiovascular Disease Physician	$149.1K	$730
Christopher Wenger	PA	Cardiovascular Disease Physician	$117.9K	$22.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
T.w. Ponessa & Associates Counseling Services, Inc.	PA	Community/Behavioral Health Agency	$0	$63.5M
Union Community Care	PA	Federally Qualified Health Center (FQHC)	$0	$21.2M
The County Of Lancaster	PA	Case Management Agency	$0	$17M
Lancaster Emergency Medical Services Association	PA	Land Ambulance	$2.1M	$10.9M
Ars Of Lancaster, LP	PA	Methadone Clinic	$163.8K	$8.3M
The County Of Lancaster	PA	Case Manager/Care Coordinator	$0	$8.2M
Childrens Surgery Center, LLC	PA	Ambulatory Surgical Clinic/Center	$0	$8.1M
Glenn Kline	PA	Surgery Physician	$743.4K	$460
Francis Manning	PA	Ophthalmology Physician	$526.4K	$0
Adam Thode	PA	Ophthalmology Physician	$395K	$0

Joette Hughes — Billing Profile & Reimbursement Data

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Joette Hughes — 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