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

Why is the Medicaid comparison limited to West Virginia 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. West Virginia (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.

Katie Edman (NPI 1396266037)

Field	Value
Entity Type	Individual
Organization	Katie Edman
Address	4 Rosemar Cir
City	Parkersburg
State	WV
ZIP	26104
Taxonomy	Primary Care Nurse Practitioner
NPI Enumerated	July 3, 2017

Payer Source	Total Paid
Medicare	$2.7K
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
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…	20	$50	$1K
G0101	Cervical or vaginal cancer screening; pelvic and clinical breast examination	30	$30	$860
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	20	$30	$610
G0328	Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	10	$20	$200

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. West Virginia Distribution

Katie Edman — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	2,491	2,860	80	$50	$7.5K
G0101	54	90	30	$30	$1.3K
Q0091	18	40	20	$40	$1K
G0328	8	10	20	$20	$870

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Parkersburg Addiction Recovery	WV	Community/Behavioral Health Agency	$0	$11.2M
Worthington Mental Health, LLC	WV	Psychiatry Physician	$0	$6.8M
Parkersburg Treatment Center, LLC	WV	Methadone Clinic	$132.5K	$5.9M
Morris Sales Hospital Shoppe, Inc.	WV	Oxygen Equipment & Supplies (DME)	$0	$2.8M
Wirt County Health Services Association Inc	WV	Federally Qualified Health Center (FQHC)	$0	$2.1M
Heart At Home	WV	Case Management Agency	$0	$1.5M
Amy Smith	WV	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$1.3M
Parkersburg Treatment Center, LLC	WV	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.1M
Parkersburg Treatment Center, LLC	WV	Methadone Clinic	$0	$1.1M
Anchored Wellness & Recovery	WV	Addiction Medicine (Family Medicine) Physician	$0	$968.1K

Katie Edman — Billing Profile & Reimbursement Data

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Katie Edman — 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