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

Why is the Medicaid comparison limited to South Dakota 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. South Dakota (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.

Nancy Schenk (NPI 1467413971)

Field	Value
Entity Type	Individual
Organization	Nancy Schenk
Address	345 W Steamboat Dr
City	Dakota Dunes
State	SD
ZIP	57049
Taxonomy	Family Medicine Physician
NPI Enumerated	April 1, 2006

Payer Source	Total Paid
Medicare	$302.4K
Medicaid	$0

Key Findings

This provider’s Medicare code mix is consistent with an outpatient family medicine practice that delivers both longitudinal primary care and procedure-driven services: high-volume office visits (99214), chronic care management (99490), and administration of specialty biologic injections (J0897). Preventive services and in-office procedures also appear regularly — annual wellness visits (G0439), influenza and pneumococcal vaccines (90662, 90677, G0008), and a broad set of lab orders — indicating a full-scope primary care workflow that includes immunizations, routine labs, and some injectable therapy administration.

Revenue is highly concentrated: the top three Medicare codes (J0897, 99214, 99490) together account for 52.4% of this provider’s total Medicare revenue, with J0897 at 20.9%, 99214 at 20.7%, and 99490 at 10.7% of Medicare revenue. This concentration means a majority of Medicare dollars flow from a small set of services — office visits, chronic care management, and a specific high-cost injectable — so changes in utilization or reimbursement for any of those codes would materially affect topline Medicare revenue.

Payer mix is effectively single-payer Medicare: total Medicare revenue is $302.4K while Medicaid shows none on file. The absence of Medicaid billing suggests the provider’s commercial/Medicaid-facing footprint is either minimal or billed under different taxonomies/locations, which concentrates revenue and contracting exposure to Medicare payment policies and patient demographics.

Competitive standing is mixed by code: 99214 is notably above typical national volume and ranks at the 94th percentile, signaling strong office-visit throughput relative to peers at the national level, while J0897 ranks at the 55th percentile and is described as typical/unremarkable volume for that injection. Chronic care management (99490) also appears above many peers, ranking in the 88th percentile and labeled typical/unremarkable in volume, which together indicate above-average engagement in chronic care services and a solid primary care panel size.

The practice shows explicit adoption of care coordination and remote care technology: codes 99457 (remote monitoring), 99454 (device supply for RPM), and 99439 (additional CCM time) all appear in the top-codes list, with 99457 ranked at the 63th percentile, 99454 at the 38th percentile, and 99439 at the 61th percentile (all described as typical/unremarkable volume). This pattern suggests an established RPM/CCM program complementing in-person visits, likely billing monthly RPM/CCM services alongside face-to-face care.

High-volume laboratory testing and preventive screening are important revenue contributors: multiple lab panel codes (80053, 80061, 85025, 84443, 83036, 84439, 82607, 82306) appear in the top-25, many with high percentile ranks (several at or near the 88–94th percentiles). Combined with routine immunizations and annual wellness visits (G0439, 90662, G0008), the data point to a prevention- and chronic disease–management orientation that generates steady ancillary revenue through labs and vaccines.

The provider appears long-tenured with an NPI enumeration date of 2006-04-01 (~20 years ago), suggesting an established local presence in Dakota Dunes, SD. Despite long tenure, total reported Medicare revenue of $302.4K indicates a modest scale operation — consistent with a solo or small-group family medicine practice rather than a large multi-specialty or facility-based enterprise.

Medicare: Complete Services Breakdown

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

73 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0897	Injection, denosumab, 1 mg	3,060	$20	$55.1K
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…	650	$80	$54.4K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	640	$40	$28.2K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	180	$120	$22.7K
90662	This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…	140	$70	$9.8K
90677	This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…	30	$280	$7.6K
99457	The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…	210	$40	$7.6K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	120	$70	$7.5K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	70	$110	$7.4K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	730	$10	$5.8K

Showing 1–10 of 73

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 73 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Dakota Distribution

Nancy Schenk — 6 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Dakota

Full comparison — all codes billed, vs. state median

73 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0897	16	40	2,460	$20	$52.8K
91322	78	100	100	$140	$21.6K
99214	64	1,660	90	$70	$11.4K
G0439	35	240	60	$120	$10.9K
74177	70	80	90	$70	$10K
99457	3	10	210	$30	$9.7K
17000	93	100	200	$30	$8.5K
99458	4	10	60	$30	$8K
99454	3	10	100	$40	$7.8K
90677	34	110	20	$280	$7.7K

Showing 1–10 of 73

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Iowa Physicians Clinic Medical Foundation	IA	General Practice Physician	$0	$102.7M
The Robert Young Center For Community Mental Health	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$12.8M
Family Health Care Of Siouxland Plc	IA	Family Medicine Physician	$0	$11.1M
The Robert Young Center For Community Mental Health	IL	Substance Use Disorder Rehabilitation Clinic/Center	$0	$9.5M
The Robert Young Center For Community Mental Health	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$7.1M
St. Luke's Methodist Hospital	IA	Cardiovascular Disease Physician	$0	$3.9M
Chad Laurich	SD	Vascular Surgery Physician	$3.2M	$0
Allen Memorial Hospital Corporation	IA	Women's Health Nurse Practitioner	$0	$2.1M
Trinity Regional Medical Center	IA	Rural Health Clinic/Center	$0	$1.8M
Trinity Regional Medical Center	IA	Rural Health Clinic/Center	$0	$1.6M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cnos PC	SD	Orthopaedic Surgery Physician	$0	$3.6M
Dunes Dental 4 Kids, LLP	SD	Pediatric Dentistry	$0	$3.3M
Liem Som Oei Md PC	SD	Nephrology Physician	$0	$2.4M
Ear Nose And Throat Consultants And Hearing Services Plc	SD	Otolaryngology Physician	$0	$2.2M
Oral Surgery Assocates, P.C.	SD	Oral and Maxillofacial Surgery (Dentist)	$0	$2.1M
Dunes Anesthesia PC	SD	Pain Medicine (Anesthesiology) Physician	$0	$1.1M
Midlands Clinic, P.C.	SD	Specialist	$0	$822.9K
Dunes Medical Laboratories	SD	Clinical Medical Laboratory	$303K	$416.6K
Beth Bruening	SD	Ophthalmology Physician	$704.9K	$2.2K
Neal Khurana	SD	Vascular & Interventional Radiology Physician	$704.3K	$0

Nancy Schenk — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References