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

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

Joann Roberts (NPI 1477882736)

Field	Value
Entity Type	Individual
Organization	Joann Roberts
Address	6800 Wilson Ln
City	Bethesda
State	MD
ZIP	20817
Taxonomy	Anesthesiologist Assistant
NPI Enumerated	December 16, 2009

Payer Source	Total Paid
Medicare	$9.4K
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
00142	The provider performs anesthesia services for a patient undergoing an eye lens procedure.	60	$50	$3K
00140	The provider performs anesthesia services for a patient undergoing an eye procedure.	30	$80	$2.4K
00144	The provider performs anesthesia services for a patient undergoing a corneal transplant.	20	$90	$1.5K
00812	The provider performs anesthesia services for a patient undergoing a screening colonoscopy during which the surgical provider introduces an endoscope into the intestines below the duodenum, the part…	20	$50	$1.1K
00103	The provider performs anesthesia services for a patient undergoing a reconstructive procedure of eyelid such as blepharoplasty or ptosis surgery.	10	$70	$840
00731	The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…	10	$60	$670

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. Maryland Distribution

Joann Roberts — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
00142	131	320	40	$90	$11.6K
00812	191	350	20	$100	$4.5K
00140	32	90	20	$120	$4K
00103	38	50	20	$130	$3.6K
00144	6	20	20	$130	$3.5K
00731	672	720	20	$90	$3K

Joann Roberts — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References