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

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

Irene Campbell (NPI 1487680237)

Field	Value
Entity Type	Individual
Organization	Irene Campbell
Address	600 Church St
City	Franklin
State	TN
ZIP	37064
Taxonomy	Podiatrist
NPI Enumerated	June 23, 2006

Payer Source	Total Paid
Medicare	$230.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99348	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…	3,520	$60	$193.3K
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…	300	$60	$18.2K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	230	$60	$12.7K
99347	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves straightforward medical decision making or the provider spends at…	250	$30	$7.7K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Tennessee Distribution

Irene Campbell — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99308	230	620	150	$50	$13.7K
99213	1,470	11,030	80	$50	$8K
99348	1	240	50	$50	$6K
99347	6	80	40	$30	$2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Health Services, Inc.	TN	Federally Qualified Health Center (FQHC)	$0	$9M
Lucas Wilmore	TN	Addiction Medicine (Family Medicine) Physician	$4.4K	$4.6M
Engaging Senior Care, LLC	TN	In Home Supportive Care Agency	$0	$2.7M
Willowbrook Hospice, Inc.	TN	Community Based Hospice Care Agency	$0	$2.1M
Idl Acquisition Co, LLC	TN	Clinical Medical Laboratory	$1.5M	$310
Mygenetx Laboratory LLC	TN	Clinical Medical Laboratory	$592.6K	$34.2K
Allermetrix Inc	TN	Clinical Medical Laboratory	$121.4K	$142.5K
Eric Dame	TN	Diagnostic Radiology Physician	$123.2K	$26.5K
David Mccord	TN	Addiction Medicine (Preventive Medicine) Physician	$111.7K	$0
Amanda Stacey	TN	Occupational Therapist	$88K	$0

Irene Campbell — Billing Profile & Reimbursement Data

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Irene Campbell — 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