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

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

Mary Pope (NPI 1457950032)

Field	Value
Entity Type	Individual
Organization	Mary Pope
Address	1023 E Avenue
City	Scranton
State	IA
ZIP	51462
Taxonomy	Family Nurse Practitioner
NPI Enumerated	October 23, 2020

Payer Source	Total Paid
Medicare	$10.5K
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
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…	120	$50	$6K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	50	$80	$3.9K
32562	The provider injects a chest tube or catheter with an agent to dissolve fibrin proteins in the patient’s chest. This code describes all related services on each day of treatment after the first.	20	$40	$650

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. Iowa Distribution

Mary Pope — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Iowa

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	518	910	60	$90	$10.5K
99232	666	1,740	80	$60	$9.3K
32562	1	10	20	$40	$640

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Clarke County Public Hospital	IA	Critical Access Hospital	$0	$5.1M
Clarke County Public Hospital	IA	Rural Health Clinic/Center	$0	$4.5M
Mark Burdt	IA	Rheumatology Physician	$1.1M	$0
Amy Hughes	IA	Medical Oncology Physician	$167.1K	$0
Patrick Oben	IA	Internal Medicine Physician	$127.5K	$0
Rachel Blagg	IA	Physician Assistant	$84.8K	$0
Archana Verma	IA	Gastroenterology Physician	$76.8K	$0
Nagendra Myneni	IA	Gastroenterology Physician	$74.9K	$0
Ahmar Butt	IA	Psychiatry Physician	$49.6K	$0
Sarah Springer	IA	Family Nurse Practitioner	$46.4K	$0

Mary Pope — Billing Profile & Reimbursement Data

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Mary Pope — 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

Frequently Asked Questions

References