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

Why is the Medicaid comparison limited to Washington 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. Washington (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 Davies (NPI 1447586128)

Field	Value
Entity Type	Individual
Organization	Kathleen Davies
Address	915 Anderson Dr
City	Aberdeen
State	WA
ZIP	98520
Taxonomy	Medical Physician Assistant
NPI Enumerated	October 30, 2009

Payer Source	Total Paid
Medicare	$49.4K
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
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	330	$120	$38K
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…	50	$80	$4.1K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	40	$90	$3.7K
99236	The provider sees a patient for hospital inpatient or observation care involving evaluation and management (E/M), with an admission encounter and discharge encounter on the same date. The E/M…	20	$130	$2.6K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	10	$60	$670
93042	The provider interprets a recording of the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to…	40	$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 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Kathleen Davies — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99232	3,068	3,100	70	$60	$7.5K
99223	21	2,570	30	$130	$6.4K
99239	598	1,240	50	$90	$5.8K
99222	329	1,690	20	$100	$3K
99236	2	10	20	$140	$2.5K
93042	119	200	40	$10	$320

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Hospital Of The Monterey Peninsula	CA	General Acute Care Hospital	$0	$88.5M
James Joye	CA	Interventional Cardiology Physician	$4.5M	$0
Ajanta De	CA	Interventional Cardiology Physician	$1.5M	$0
Michael Plainse	CA	Cardiovascular Disease Physician	$596.5K	$0
Samrat Sanghvi	CA	Radiation Oncology Physician	$512.6K	$0
Jeffrey Keating	CA	Anatomic Pathology & Clinical Pathology Physician	$442.5K	$0
Matthew Susko	CA	Radiation Oncology Physician	$353.7K	$0
Christopher Oh	CA	Nuclear Cardiology Physician	$347.3K	$0
Robert Gardner	CA	Diagnostic Radiology Physician	$335.5K	$0
Harlan Grogin	CA	Clinical Cardiac Electrophysiology Physician	$314.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Quinault Indian Nation	WA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$39.3M
Grays Harbor Community Hospital	WA	General Acute Care Hospital	$0	$34M
Wchs, Inc.	WA	Methadone Clinic	$596.7K	$12.2M
Grays Harbor Community Hospital	WA	Rural Health Clinic/Center	$0	$11.3M
Harbor Kids Dental PLLC	WA	General Practice Dentistry	$0	$10.9M
Coastal Community Action Program	WA	Case Manager/Care Coordinator	$0	$9.9M
City Of Aberdeen	WA	Ambulance	$440.4K	$5.1M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$5M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$3.3M
Renal Care Group Northwest, Inc.	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.8M

Kathleen Davies — Billing Profile & Reimbursement Data

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Kathleen Davies — 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