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.

Claudia Scott (NPI 1407867187)

Field	Value
Entity Type	Individual
Organization	Claudia Scott
Address	217 S Grand Ave
City	Lansing
State	MI
ZIP	48933
Taxonomy	Psychiatric/Mental Health Nurse Practitioner
NPI Enumerated	August 10, 2006

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.

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q3014	Telehealth originating site facility fee	70	$20	$1.2K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	50	$20	$820
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	$40	$720

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Michigan Distribution

Claudia Scott — 0 of 3 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

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	12,718	14,810	60	$60	$6.6K
99212	879	2,750	30	$40	$2K
Q3014	4	20	50	$20	$970

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northpointe Behavioral Healthcare System	MI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$67.3M
Crusaders Central Clinic Association	IL	Federally Qualified Health Center (FQHC)	$0	$62.7M
Crusaders Central Clinic Association	IL	Federally Qualified Health Center (FQHC)	$0	$38.9M
Horizon Health And Wellness, Inc.	AZ	General Practice Physician	$0	$36.4M
Crusaders Central Clinic Association	IL	Federally Qualified Health Center (FQHC)	$0	$16.4M
Flagler Hospital Inc	FL	General Acute Care Hospital	$0	$13.4M
Crusaders Central Clinic Association	IL	Federally Qualified Health Center (FQHC)	$0	$10.6M
Crusaders Central Clinic Association	IL	Federally Qualified Health Center (FQHC)	$0	$10.5M
Horizon Health And Wellness, Inc.	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$7.2M
Wabash General Hospital District	IL	Rural Health Clinic/Center	$0	$2.8M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
City Of Lansing	MI	Land Ambulance	$727.8K	$10.4M
Jody Medvedik	MI	Audiologist	$42.9K	$0

Claudia Scott — Billing Profile & Reimbursement Data

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Claudia Scott — 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