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

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

Kathleen Adams (NPI 1427126846)

Field	Value
Entity Type	Individual
Organization	Kathleen Adams
Address	12201 Plum Orchard Drive
City	Silver Spring
State	MD
ZIP	20904
Taxonomy	Optometrist
NPI Enumerated	December 1, 2006

Payer Source	Total Paid
Medicare	$180
Medicaid	$0

Medicare: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
92227	The patient undergoes retinal imaging on one or both eyes in a location other than the reviewing clinical staff’s location. The clinical staff analyzes the images remotely and prepares a report. The…	20	$10	$180

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maryland Distribution

Kathleen Adams — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. state median

1 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92227	1	10	20	$10	$180

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Radiology Associates Inc	MD	Diagnostic Radiology Physician	$0	$27.8M
Mission Autism Clinics LLC	MD	Behavior Analyst	$0	$21.6M
Children's Pediatricians & Associates, LLC	MD	Pediatrics Physician	$0	$17.5M
Dr. Camps Pediatric Dental Center	MD	Pediatric Dentistry	$0	$16.1M
Thrive Behavioral Health, LLC	MD	Community/Behavioral Health Agency	$0	$12.8M
White Oak Pediatrics Drs Battiata & Impeduglia PA	MD	Pediatrics Physician	$0	$12.3M
Jsk Care Group, LLC	MD	Adult Day Care Clinic/Center	$0	$11.8M
Rock Creek Foundation For Mental Health Inc	MD	Developmental Disabilities Clinic/Center	$0	$10.2M
Adventist Healthcare, Inc.	MD	General Acute Care Hospital	$0	$4.5M
Kashif Ali	MD	Hematology & Oncology Physician	$3.6M	$0

Kathleen Adams — Billing Profile & Reimbursement Data

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Kathleen Adams — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References