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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

Tricia Croake (NPI 1407859473)

Field	Value
Entity Type	Individual
Organization	Tricia Croake
Address	165 Turnberry Way
City	Pinehurst
State	NC
ZIP	28374
Taxonomy	Family Medicine Physician
NPI Enumerated	May 24, 2005

Payer Source	Total Paid
Medicare	$53.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
64445	The provider injects one or more anesthetic agents and/or a steroid into the area of the sciatic nerve, which supplies the skin and muscles of the leg. Report this code for one or more injections…	210	$170	$36.8K
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…	260	$60	$16.5K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

Tricia Croake — 1 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	2,131	16,320	70	$50	$7.1K
64445	1	40	20	$90	$2.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Leah Hershman	NC	Vascular Surgery Physician	$543.2K	$0
Lynda Mchutchison	NC	Obstetrics & Gynecology Physician	$477.8K	$0
David Draughn	NC	Surgery Physician	$392.6K	$0
Khanh Nguyen	MD	Emergency Medicine Physician	$357.3K	$0
Marianne Sommerville	CA	Hospitalist Physician	$346.8K	$0
Radhakrishnan Ramaraj	NC	Cardiovascular Disease Physician	$308.8K	$5.2K
Brent Greenberg	NC	Family Medicine Physician	$171.6K	$0
Mark Featherston	NC	Family Medicine Physician	$150.5K	$0
Ashley Baquero	NC	Surgery Physician	$147.6K	$0
Omofolarin Arthur	MI	Family Medicine Physician	$72.1K	$0

Tricia Croake — Billing Profile & Reimbursement Data

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Tricia Croake — 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

Frequently Asked Questions

References