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

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

Amy Loden (NPI 1417189564)

Field	Value
Entity Type	Individual
Organization	Amy Loden
Address	3023 N Ballas Rd Ste 440
City	Saint Louis
State	MO
ZIP	63131
Taxonomy	Internal Medicine Physician
NPI Enumerated	August 21, 2009

Payer Source	Total Paid
Medicare	$23.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

13 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…	60	$90	$5.5K
99454	The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.	110	$40	$4.2K
99457	The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…	110	$40	$3.8K
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…	40	$60	$2.6K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	20	$130	$2.5K
99441	N/A	40	$40	$1.4K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	10	$130	$1.4K
99452	The provider, a treating or requesting physician or other qualified healthcare professional, spends 30 minutes providing healthcare information about a patient to a consultant via various electronic…	30	$30	$730
G0446	Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	10	$30	$300
G0444	Annual depression screening, 5 to 15 minutes	10	$20	$220

Showing 1–10 of 13

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Missouri Distribution

Amy Loden — 0 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. state median

13 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	5,699	8,960	100	$80	$13.9K
99454	33	50	190	$30	$11.8K
99457	32	50	160	$30	$11.5K
G0439	1,741	1,770	60	$110	$10.2K
99213	5,808	8,730	70	$50	$7K
99215	1,581	2,300	30	$110	$6.8K
G0008	2,105	2,260	50	$30	$2.5K
G0446	38	40	60	$20	$2.2K
G0444	305	330	50	$20	$1.3K
99441	32	110	20	$30	$1.1K

Showing 1–10 of 13

Amy Loden — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References