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.

Elizabeth Gale (NPI 1386935187)

Field	Value
Entity Type	Individual
Organization	Elizabeth Gale
Address	5 Alumni Dr
City	Exeter
State	NH
ZIP	03833
Taxonomy	Pediatrics Physician
NPI Enumerated	April 27, 2011

Payer Source	Total Paid
Medicaid	$60.8K
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	310	$90	$28.6K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	80	$120	$9.3K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	250	$30	$7.8K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	190	$20	$4.5K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	30	$130	$3.9K
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…	30	$130	$3.6K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	110	$30	$2.9K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	10	$10	$200

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other New Hampshire providers billing the same CPT/HCPCS codes.

Claims Volume vs. New Hampshire Distribution

Elizabeth Gale — 0 of 8 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. New Hampshire median

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	357	420	480	$50	$223.9K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	209	400	350	$30	$140.6K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	51	60	580	$70	$61.9K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	40	50	370	$60	$47.4K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	26	40	240	$10	$10.3K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	56	120	220	$10	$8.9K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	45	60	780	$1	$8.3K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	84	90	290	$10	$6.5K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wentworth Douglass Physician Corporation	NH	Magnetic Resonance Imaging Radiologic Technologist	$0	$2.7M
Steven Graff	RI	Orthopaedic Hand Surgery Physician	$67.7K	$798.6K
Jonathan Proulx	NH	Hematology (Internal Medicine) Physician	$725.4K	$0
Salman Ghiasuddin	MA	Interventional Cardiology Physician	$561.3K	$0
Michael Blanc	TX	Interventional Cardiology Physician	$404.4K	$0
Elisabeth Matson	NH	Rheumatology Physician	$387.1K	$0
E. William Johnson	NH	Urology Physician	$364.3K	$0
Mohammad Dahrouj	MA	Ophthalmology Physician	$350.4K	$0
Simon Greenbaum	NY	Orthopaedic Surgery Physician	$348.5K	$0
Cullen Jumper	NH	Urology Physician	$272.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Exeter Hospital Inc	NH	General Acute Care Hospital	$0	$12.5M
Core Physicians, LLC	NH	Family Medicine Physician	$0	$5.8M
County Of Rockingham	NH	Nursing Facility/Intermediate Care Facility	$0	$2.6M
Seacoast Pathology Inc	NH	Clinical Medical Laboratory	$1.4M	$994.8K
Emergency Medicine Physicians Of Rockingham County, LLC	NH	Emergency Medicine Physician	$0	$1.4M
Seacoast Youth Services	NH	Adolescent and Children Mental Health Clinic/Center	$0	$1.2M
The Exeter Cooperative School District	NH	Local Education Agency (LEA)	$0	$894.9K
Exeter School District	NH	Local Education Agency (LEA)	$0	$750.7K
Kenneth Brown	NH	Psychiatry Physician	$477.7K	$0
Heidi Mullen	NH	Dermatology Physician	$464.1K	$0

Elizabeth Gale — Billing Profile & Reimbursement Data

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Elizabeth Gale — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References