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.

Micaela Owens (NPI 1407351877)

Field	Value
Entity Type	Individual
Organization	Micaela Owens
Address	2520 Valley Drive
City	Point Pleasant
State	WV
ZIP	25550
Taxonomy	Neurology Physician
NPI Enumerated	March 28, 2018

Payer Source	Total Paid
Medicare	$6.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	20	$90	$1.6K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	10	$130	$1.6K
99203	The provider sees a new 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 provider…	20	$80	$1.5K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	10	$100	$1.2K
95860	In this procedure, the provider uses an electromyograph to record electrical activity that skeletal muscle cells produce while the provider inserts needles into the muscle during rest and while…	10	$80	$910

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. West Virginia Distribution

Micaela Owens — 0 of 5 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

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	2,504	2,740	100	$70	$11.8K
99223	728	780	30	$130	$7.9K
99222	999	1,080	30	$100	$4.5K
99203	645	940	30	$60	$2.8K
95860	1	10	10	$80	$910

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pleasant Valley Hospital, Inc.	WV	Rural Health Clinic/Center	$0	$6.6M
Pleasant Valley Hospital, Inc.	WV	General Acute Care Hospital	$0	$6.6M
Point Pleasant Physician Billing Services	WV	Multi-Specialty Clinic/Center	$0	$2.2M
Pleasant Valley Hospital Inc	WV	Rural Health Clinic/Center	$0	$1M
James Toothman	WV	Internal Medicine Physician	$528.3K	$19.8K
Vishal Verma	WV	Ophthalmology Physician	$419.8K	$0
Robin Arora	WV	Nephrology Physician	$392.5K	$0
Michael Collins	WV	Nephrology Physician	$245.3K	$0
Rabah Boukhemis	WV	Physical Medicine & Rehabilitation Physician	$210.6K	$0
Matthew Bullock	WV	Adult Reconstructive Orthopaedic Surgery Physician	$207.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hope For Tomorrow, LLC	WV	Substance Abuse Rehabilitation Facility	$0	$25.6M
New Lifeclinics Inc	WV	Addiction Medicine (Family Medicine) Physician	$0	$6.5M
Mountaineer Laboratories LLC	WV	Clinical Medical Laboratory	$13.8K	$3.7M
Valley Health Systems Inc	WV	Federally Qualified Health Center (FQHC)	$0	$3.4M
County Of Mason	WV	Land Ambulance	$369.8K	$1.9M
Mason County Action Group, Inc.	WV	Home Health Agency	$0	$2M
Mason County Emergency Ambulance Service Authority	WV	Ambulance	$0	$1.6M
Mason County Action Group Inc	WV	Home Health Agency	$0	$1.5M
David Faber	WV	Surgery Physician	$123.5K	$0
Brianna Brown	WV	Audiologist	$39.9K	$170

Micaela Owens — Billing Profile & Reimbursement Data

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Micaela Owens — 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