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

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

Andrea Spence (NPI 1457001810)

Field	Value
Entity Type	Individual
Organization	Andrea Spence
Address	16407 Southfield Rd Ste A
City	Allen Park
State	MI
ZIP	48101
Taxonomy	Nurse Practitioner
NPI Enumerated	March 28, 2022

Payer Source	Total Paid
Medicare	$6.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90961	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the…	20	$200	$3K
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	10	$240	$2.9K
90970	The provider manages for less than one full month all the daily services associated with the dialysis care of a patient who is 20 years old or older and has a condition known as end stage renal…	110	$10	$670

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Michigan Distribution

Andrea Spence — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90960	201	200	160	$270	$50.1K
90961	189	200	40	$230	$12.8K
90970	5	10	140	$10	$2.6K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sudheer Ummadi	MI	Nephrology Physician	$599.7K	$0
Pinnamaneni Prasad	MI	Nephrology Physician	$308.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Joint Venture Hospital Laboratories	MI	Clinical Medical Laboratory	$0	$56.7M
Lincoln Park Urgent Care P.C.	MI	Emergency Medicine Physician	$0	$5.3M
Biotox Laboratory, LLC	MI	Clinical Medical Laboratory	$170.9K	$4.4M
Future Diagnostic Center	MI	Clinical Medical Laboratory	$154.7K	$2.1M
Mohammed Yazbek	MI	Internal Medicine Physician	$1.6M	$0
Chaman Sohal	MI	Cardiovascular Disease Physician	$756.5K	$0
Maath Alani	MI	Internal Medicine Physician	$389.3K	$0
Subrahmanya Yellayi	MI	Cardiovascular Disease Physician	$386K	$0
Syed Jafri	MI	Cardiovascular Disease Physician	$301.6K	$0
Lascelles Pinnock	MI	Otolaryngology Physician	$298.7K	$0

Andrea Spence — Billing Profile & Reimbursement Data

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Andrea Spence — 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