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

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

Allison Sutton (NPI 1447988449)

Field	Value
Entity Type	Individual
Organization	Allison Sutton
Address	601 Sw 5th St Apt 2
City	Bentonville
State	AR
ZIP	72712
Taxonomy	Acute Care Nurse Practitioner
NPI Enumerated	August 9, 2022

Payer Source	Total Paid
Medicare	$11.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

9 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…	70	$80	$5.8K
99204	The provider sees a new 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 provider…	20	$100	$2.2K
94729	In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream.	20	$40	$900
94726	The provider performs a pulmonary function test, or PFT, to determine the patient’s lung volumes, such as total lung capacity, residual volume, and functional residual capacity. The testing also may…	20	$40	$830
94060	The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is…	20	$30	$580
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	10	$20	$280
94618	The provider performs pulmonary stress testing to evaluate lung function and to diagnose certain lung disorders. The stress component may include a six–minute walk test or other form of exercise.	10	$20	$280
94200	The provider measures the largest volume of air that a patient can voluntarily breathe while the patient breathes as deeply and quickly as possible for a specified period of time. This test helps…	20	$10	$230
94640	The provider administers oxygen under pressure or not under pressure to open obstructed air passages. He uses any of the listed devices to treat a patient with an acute obstruction of the airway that…	10	$10	$80

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Arkansas Distribution

Allison Sutton — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arkansas

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	20,598	4,300	130	$70	$18.8K
99204	10,905	2,100	40	$100	$5.4K
94729	465	70	100	$20	$2.6K
94726	370	50	100	$20	$1.9K
94060	431	70	60	$20	$1.4K
71046	3,204	850	40	$10	$1.3K
94618	313	40	40	$20	$1K
94640	132	30	20	$1	$110
94200	7	0	N/A	$N/A	$N/A

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Imagine Occupational Therapy Services	AR	Occupational Therapist	$0	$6.5M
No Limits Pediatric Therapies	AR	Occupational Therapist	$0	$6M
Bentonville Assisted Living Services	AR	Assisted Living Facility	$0	$4.3M
Absolute Pediatric Therapy	AR	Speech-Language Pathologist	$0	$2.7M
Emerge Services, LLC	AR	Occupational Therapist	$0	$2M
Pams PLLC	AR	Prosthetic/Orthotic Supplier	$0	$1.5M
Smile Shoppe Bentonville Jeffrey D Rhodes Dds Ms PLLC	AR	Pediatric Dentistry	$0	$1.5M
Legacy Village Greenhouse Corp	AR	Assisted Living Facility	$0	$1.2M
City Of Bentonville	AR	Ambulance	$213.7K	$737.8K
Jon Banwart	AR	Adult Reconstructive Orthopaedic Surgery Physician	$379.9K	$0

Allison Sutton — Billing Profile & Reimbursement Data

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Allison Sutton — 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