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

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

Melanie Blais (NPI 1407890155)

Field	Value
Entity Type	Individual
Organization	Melanie Blais
Address	701 10th St Se
City	Cedar Rapids
State	IA
ZIP	52403
Taxonomy	Adult Health Nurse Practitioner
NPI Enumerated	June 15, 2006

Payer Source	Total Paid
Medicare	$26.8K
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
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	360	$30	$11.5K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	100	$70	$7.5K
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…	70	$70	$4.6K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	60	$50	$3.2K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	10	$10	$90

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. Iowa Distribution

Melanie Blais — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Iowa

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	2,955	4,690	100	$70	$14.4K
99239	146	690	40	$80	$5.1K
36415	1,440	1,450	130	$10	$2.4K
99238	84	540	30	$60	$2.2K
99231	8	740	40	$30	$2.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Medical Center	IA	General Acute Care Hospital	$0	$26.4M
Mercy Medical Center	IA	Cardiovascular Disease Physician	$0	$5.1M
Mercy Physician Associates, Inc	IA	Rural Health Clinic/Center	$0	$3.9M
Mercy Medical Center	IA	Psychiatry Physician	$0	$2.8M
Mercy Physician Associates, Inc	IA	Family Medicine Physician	$0	$945.7K
Kambeez Berenji	VA	Interventional Cardiology Physician	$456.3K	$0
Melanie Stahlberg	IA	Internal Medicine Physician	$262.5K	$0
Arjun Ramesh	IA	Interventional Pain Medicine Physician	$249K	$0
Ryan Hollenbeck	IA	Interventional Cardiology Physician	$221.6K	$0
Jason Booth	IA	Family Medicine Physician	$214K	$0

Melanie Blais — Billing Profile & Reimbursement Data

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Melanie Blais — 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