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

Why is the Medicaid comparison limited to New Jersey 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. New Jersey (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.

Elizabeth Butterworth (NPI 1497863468)

Field	Value
Entity Type	Individual
Organization	Elizabeth Butterworth
Address	12 Village Dr
City	Cape May Court House
State	NJ
ZIP	08210
Taxonomy	Registered Nurse
NPI Enumerated	August 29, 2006

Payer Source	Total Paid
Medicare	$89.7K
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
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…	1,300	$60	$76.8K
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…	80	$90	$7.1K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	380	$10	$4.5K
99204	The provider sees a new 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 provider…	10	$110	$1.3K

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. New Jersey Distribution

Elizabeth Butterworth — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	8,578	13,640	130	$90	$23.6K
99213	134	14,090	100	$70	$13.1K
99204	6,610	7,160	40	$130	$6.5K
80305	8	70	70	$10	$1.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Arc Of Cape May County	NJ	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$53.8M
Cooper University Hospital Cape Regional Inc	NJ	General Acute Care Hospital	$0	$39.6M
Rainbow Pediatrics PC	NJ	Pediatrics Physician	$0	$9.3M
Ars Of Rio Grande, LLC	NJ	Methadone Clinic	$139.7K	$8.4M
Atlanticare Surgery Center Cape May - L.L.C.	NJ	Ambulatory Surgical Clinic/Center	$779K	$0
Ankur Shah	NJ	Diagnostic Radiology Physician	$502.1K	$0
Subhash Mehta	NJ	Internal Medicine Physician	$449.5K	$350
Danielle Ponzio	NJ	Orthopaedic Surgery Physician	$418.5K	$0
Cape Cataract Center, PC	NJ	Ambulatory Surgical Clinic/Center	$412.2K	$0
Domenic Pastore	NJ	Specialist	$412.1K	$0

Elizabeth Butterworth — Billing Profile & Reimbursement Data

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Elizabeth Butterworth — 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