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

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

Samantha Pyle (NPI 1447577317)

Field	Value
Entity Type	Individual
Organization	Samantha Pyle
Address	320 E 2nd St
City	Libby
State	MT
ZIP	59923
Taxonomy	Family Medicine Physician
NPI Enumerated	April 30, 2010

Payer Source	Total Paid
Medicare	$4.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
80061	The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.	120	$10	$1.6K
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	120	$10	$1.1K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	80	$10	$750
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	30	$10	$360
81003	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…	120	$1	$240
G0328	Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	20	$10	$190

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Montana Distribution

Samantha Pyle — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
80061	21	60	70	$10	$3.3K
80053	34	90	50	$10	$2.7K
83036	26	190	30	$10	$760
G0328	9	10	40	$20	$740
80305	6	20	20	$10	$430
81003	8	180	30	$1	$90

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gabriel Dawson	MT	Pediatric Dentistry	$0	$10.7M
Joseph Chopyak	MT	Physician Assistant	$2.3K	$0
Tony Fantozzi	MT	Medical Physician Assistant	$2.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Achievements, Inc.	MT	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$5.9M
Cabinet Mountain Home Care, LLC	MT	In Home Supportive Care Agency	$0	$1.9M
St. John's Lutheran Hospital, Inc.	MT	Critical Access Hospital	$0	$1.3M
Libby Schools	MT	Local Education Agency (LEA)	$0	$811.7K
Lincare Inc	MT	Durable Medical Equipment & Medical Supplies	$0	$717.1K
Joan Christiansen	MT	Professional Counselor	$0	$543.7K
Family Health & Wellness, Inc.	MT	Primary Care Nurse Practitioner	$0	$364.3K
Leslie Sterling	MT	Clinical Social Worker	$11.7K	$332.4K
Office Of Randy Guinard, Lcsw LLC	MT	Clinical Social Worker	$0	$307K
Libby Volunteer Ambulance Service Inc	MT	Land Ambulance	$67.9K	$47.1K

Samantha Pyle — Billing Profile & Reimbursement Data

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Samantha Pyle — 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