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

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

Nathan Rousu (NPI 1386894517)

Field	Value
Entity Type	Individual
Organization	Nathan Rousu
Address	7400 E Osborn Rd
City	Scottsdale
State	AZ
ZIP	85251
Taxonomy	Family Nurse Practitioner
NPI Enumerated	September 24, 2008

Payer Source	Total Paid
Medicare	$155.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	840	$70	$56.1K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	970	$50	$44.5K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	330	$120	$37.8K
99305	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	100	$80	$8.4K
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	170	$30	$4.3K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	60	$40	$2.4K
11045	The provider uses surgical instruments to remove dead tissue from the subcutaneous layer, as well as the epidermis and dermis if needed. She performs this service at the same session as a separately…	50	$20	$820
99304	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves straightforward or low medical decision making or the provider…	10	$50	$740

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Arizona Distribution

Nathan Rousu — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arizona

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	68	440	220	$70	$32.4K
99308	22	300	130	$50	$16K
99306	17	300	50	$130	$12.8K
11042	143	240	70	$60	$8.2K
99305	21	90	40	$100	$8.1K
11045	28	30	170	$20	$4.5K
99307	8	50	90	$30	$4.2K
99304	23	30	30	$60	$3.6K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Smi Imaging, LLC	AZ	Diagnostic Radiology Physician	$0	$90.4M
Honorhealth	AZ	General Acute Care Hospital	$0	$47M
Southwest Diagnostic Imaging LLC	AZ	Diagnostic Radiology Physician	$0	$23.8M
Kssw Inc	AZ	In Home Supportive Care Agency	$0	$17.9M
Head To Toe Therapy Inc	AZ	Children's Hospital	$0	$11.6M
Ch Mh Services (az), LLC	AZ	Adolescent and Children Mental Health Clinic/Center	$0	$10.1M
Circular Valley Care LLC	AZ	Private Vehicle	$0	$9M
Hope Light Homecare LLC	AZ	PACE Provider Organization	$0	$7.9M
New Horizons Behavioral Health	AZ	Multi-Specialty Clinic/Center	$0	$7.3M
Michael Manning	AZ	Allergy & Immunology Physician	$4.6M	$0

Nathan Rousu — Billing Profile & Reimbursement Data

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Nathan Rousu — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References