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 Armed Forces Pacific for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Armed Forces Pacific 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. Armed Forces Pacific (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.

Amylouise Case (NPI 1407241177)

Key Findings

Field	Value
Entity Type	Individual
Organization	Amylouise Case
Address	18th Medical Group
City	Apo
State	AP (Armed Forces Pacific)
ZIP	96368
Taxonomy	Pediatrics Physician
NPI Enumerated	March 31, 2015

Payer Source	Total Paid
Medicaid	$104.6K
Medicare	$0

This provider has no Medicare billing on file and is effectively a Medicaid-only billing profile, with total Medicaid revenue of $104.6K reported. The absence of Medicare activity means analyses should focus on Medicaid utilization and competitive dynamics within the state rather than cross‑payer mix strategies.

Revenue is heavily concentrated in a small set of pediatric outpatient services: the precomputed top 3 Medicaid codes account for 67.8% of this provider’s total Medicaid revenue. Those top three lines are 99213 ($44.5K revenue, 42.5% of total Medicaid revenue; 780 claims, $57 avg paid/claim), 90460 ($14.9K revenue, 14.2% of total Medicaid revenue; 451 claims, $33 avg paid/claim), and 92558 ($11.6K revenue, 11.1% of total Medicaid revenue; 242 claims, $48 avg paid/claim), indicating reliance on routine visits, immunizations, and newborn hearing screens.

The code mix signals a pediatric primary-care and preventive-services orientation: high volume of 99213 and 99391 together with immunization codes 90460/90461 and screening codes S0302, 92558, 99177, 96110, and 96127 point to well‑child visits, EPSDT activity, vaccine administration, newborn screening, vision and developmental screening. This pattern is consistent with a clinic focused on routine outpatient pediatric care and preventive public‑health services rather than procedural or specialty care.

Competitive standing within the state is mixed: 99213 ranks #1 of 4 providers in-state and is at the 100th percentile but is explicitly described as “typical, unremarkable volume for this code,” suggesting the provider is the leading local reporter of that common pediatric E/M code without showing unusually high intensity per the available descriptor. Several other frequent codes (90460, 92558, 99177, 99391, etc.) rank #1 of 1 with “0th percentile; no state peer volume comparison available,” which indicates there are no comparable in‑state peers in the dataset to benchmark these services.

Operationally, the sizable counts for vaccination administration (90460: 451 claims; 90461: 115 claims) and the EPSDT add‑on S0302 (444 claims) imply routine immunization delivery and pediatric preventive workflow are significant practice activities, likely supporting a steady stream of well‑child encounters and vaccine visits rather than episodic or high‑complexity care. Those service lines also align with the notable presence of developmental/behavioral screening codes 96110 (296 claims) and 96127 (166 claims).

Although 99213 drives the largest share of revenue ($44.5K, 42.5% of Medicaid revenue), the provider’s overall Medicaid revenue scale is modest at $104.6K, so even leading rank positions reflect small absolute dollars compared with larger pediatric practices. Analysts should interpret the #1 rank for many codes in light of the absolute revenue and claim counts rather than assuming large market power.

Tenure on file shows the NPI was enumerated on 2015-03-31 (~11 years ago), indicating this provider has an established enrollment history in the Medicare/Medicaid system despite the lack of Medicare billing. That tenure supports expectation of an ongoing Medicaid patient panel and familiar workflows for childhood preventive services.

Code-level peer descriptors suggest limited state benchmarking data for several of this provider’s services: multiple high-volume codes are reported as #1 of 1 with “no state peer volume comparison available,” while 87880 is ranked #2 of 2 and characterized as “typical, unremarkable volume for this code.” Where peer comparisons exist, they tend to describe this provider’s volumes as typical rather than extreme, so further competitive insights will require richer peer data or encounter-level details.

Medicaid: Complete Services Breakdown

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

14 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…	780	$60	$44.5K
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.	450	$30	$14.9K
92558	In this procedure, the provider passes low intensity sounds through the ear and measures the reflected sound to analyze hearing deficiencies in newborn babies and small children who are not able to…	240	$50	$11.6K
99177	The provider uses instruments to conduct a vision screening exam to analyze both eyes to diagnose ocular or eye–related diseases. Both the screening and analysis take place on–site.	240	$30	$6.9K
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…	80	$80	$5.9K
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	440	$10	$4K
90461	In this procedure, the provider administers an additional live attenuated vaccine either via a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age after the…	120	$30	$3.5K
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…	40	$80	$3.4K
99051	The provider sees a patient during regular office hours that occur outside of traditional office hours, i.e., in the evening, on a weekend, or on a holiday.	180	$20	$3.1K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	300	$10	$3K

Showing 1–10 of 14

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Armed Forces Pacific providers billing the same CPT/HCPCS codes. Note: "AP" is a US military postal designation for Armed Forces stationed in the Asia-Pacific region — not a traditional US state; claims coded under it are benchmarked here as their own state-equivalent group.

Claims Volume vs. Armed Forces Pacific Distribution

Amylouise Case — 1 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Armed Forces Pacific

Full comparison — all codes billed, vs. Armed Forces Pacific median

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	1	10	370	$50	$18.2K
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.	1	10	450	$30	$15K
92558	In this procedure, the provider passes low intensity sounds through the ear and measures the reflected sound to analyze hearing deficiencies in newborn babies and small children who are not able to…	1	10	240	$50	$11.5K
99177	The provider uses instruments to conduct a vision screening exam to analyze both eyes to diagnose ocular or eye–related diseases. Both the screening and analysis take place on–site.	1	10	240	$30	$6.8K
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…	1	10	80	$80	$5.9K
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	1	10	440	$10	$4K
90461	In this procedure, the provider administers an additional live attenuated vaccine either via a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age after the…	1	10	120	$30	$3.5K
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…	1	10	40	$80	$3.4K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	1	10	300	$10	$3K
99051	The provider sees a patient during regular office hours that occur outside of traditional office hours, i.e., in the evening, on a weekend, or on a holiday.	1	10	180	$20	$3K

Showing 1–10 of 14

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jason Brownell	AP (Armed Forces Pacific)	Internal Medicine Physician	$26.1K	$0
Laura Harris	AP (Armed Forces Pacific)	Physician Assistant	$8.9K	$0

Amylouise Case — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References