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

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

Melissa Breaux (NPI 1497000657)

Field	Value
Entity Type	Individual
Organization	Melissa Breaux
Address	1233 Wayne Gilmore Circle
City	Opelousas
State	LA
ZIP	70570
Taxonomy	Nurse Practitioner
NPI Enumerated	July 13, 2012

Payer Source	Total Paid
Medicare	$126.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	1,890	$60	$117.3K
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…	110	$40	$4.7K
99315	The provider sees a patient for nursing facility discharge management requiring 30 minutes or less.	30	$50	$1.5K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	10	$100	$1.4K
99316	The provider sees a patient for nursing facility discharge management requiring more than 30 minutes.	20	$80	$1.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Louisiana Distribution

Melissa Breaux — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Louisiana

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	22	400	220	$70	$35K
99308	246	410	160	$50	$18.6K
99310	146	150	80	$100	$13.7K
99316	56	70	30	$90	$2.7K
99315	4	20	20	$60	$1.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kimberly Gatte	LA	Family Nurse Practitioner	$352.3K	$0
Tori Mire	LA	Adult Health Nurse Practitioner	$182.9K	$0
Jace Holmes	LA	Family Nurse Practitioner	$179K	$0
Emily Barousse Alleman	LA	Family Nurse Practitioner	$127.2K	$0
Elie Salameh	LA	Family Nurse Practitioner	$123.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Opelousas General Hospital Authority	LA	General Acute Care Hospital	$0	$27.2M
Agape Total Care LLC	LA	Personal Care Attendant	$0	$19.1M
Lily Pad Pediatrics, LLC	LA	Rural Health Clinic/Center	$0	$10.7M
Southern Home Care Services, Inc.	LA	Intellectual Disabilities Intermediate Care Facility	$0	$10.6M
Opelousas Emergency Group LLC	LA	Emergency Medicine Physician	$0	$10M
Agape Total Care LLC	LA	Personal Care Attendant	$0	$9M
Louisiana Home Healthcare Partners, LLC	LA	Home Health Agency	$0	$8.9M
Southwest Louisiana Primary Health Care Center, Inc	LA	Federally Qualified Health Center (FQHC)	$0	$8M
Opelousas Dental LLC	LA	General Practice Dentistry	$0	$7.6M
Jodison Prime Care, LLC	LA	Community Based Hospice Care Agency	$0	$6.5M

Melissa Breaux — Billing Profile & Reimbursement Data

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Melissa Breaux — 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