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

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

Rosalie Patero (NPI 1407384167)

Field	Value
Entity Type	Individual
Organization	Rosalie Patero
Address	11800 E 12 Mile Rd
City	Warren
State	MI
ZIP	48093
Taxonomy	Family Nurse Practitioner
NPI Enumerated	May 25, 2017

Payer Source	Total Paid
Medicare	$15.5K
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
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	150	$40	$6.7K
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…	70	$80	$6K
J1335	Injection, ertapenem sodium, 500 mg	90	$10	$880
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	10	$70	$760
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	20	$10	$180
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	10	$10	$90
J0696	Injection, ceftriaxone sodium, per 250 mg	470	$0	$0
J0878	Injection, daptomycin, 1 mg	15,330	$0	$0

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. Michigan Distribution

Rosalie Patero — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	8,348	15,470	80	$80	$11.4K
96365	45	200	70	$50	$5.7K
99497	938	970	40	$60	$3.4K
J0878	17	20	29,910	$1	$3.1K
J1335	7	10	100	$10	$2.1K
36415	1,554	1,860	70	$10	$1.6K
93000	1,907	1,990	30	$10	$970
J0696	15	130	80	$1	$80

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Henry Ford Health St. John Hospital	IL	General Acute Care Hospital	$0	$159.7M
Henry Ford Health St. John Hospital	MI	Internal Medicine Physician	$0	$41.8M
Henry Ford Macomb Hospital Corporation	MI	Family Medicine Physician	$0	$9.2M
The Christ Hospital Medical Associates, LLC	OH	Internal Medicine Physician	$0	$6.8M
Adli Yakan	MI	Medical Oncology Physician	$1.7M	$0
Margaret Denham	IN	Nurse Practitioner	$1.7M	$0
Marie Rodriguez	IL	Gerontology Nurse Practitioner	$1.7M	$0
Robert Scribner	MI	Gerontology Nurse Practitioner	$1.5M	$0
Andrew Muskovitz	MI	Hematology & Oncology Physician	$1.2M	$0
Srinivas Koneru	MI	Cardiovascular Disease Physician	$984.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Henry Ford Health Macomb Oakland Hospital	MI	General Acute Care Hospital	$0	$59.2M
Michigan Surgery Specialists, P.C.	MI	Surgery Physician	$0	$6.8M
Macomb Pediatric Associatea P.C	MI	Pediatrics Physician	$0	$6M
Consortiums Laboratory Services LLC	MI	Clinical Medical Laboratory	$767.1K	$489.3K
Siraj Panchbhaiya	MI	Foot & Ankle Surgery Podiatrist	$1.2M	$0
Mylab Inc	MI	Clinical Medical Laboratory	$268.1K	$857K
Alan Parent	MI	Ophthalmology Physician	$968.9K	$0
Jessie Alperin	MI	Rheumatology Physician	$788.9K	$0
Anthony Baron	MI	Rheumatology Physician	$745.6K	$0
Harjot Grover	MI	Internal Medicine Physician	$467.6K	$0

Rosalie Patero — Billing Profile & Reimbursement Data

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Rosalie Patero — 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