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

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

Melanie Westfall (NPI 1508256793)

Field	Value
Entity Type	Individual
Organization	Melanie Westfall
Address	520 Medical Center Dr Ste 300
City	Medford
State	OR
ZIP	97504
Taxonomy	Family Nurse Practitioner
NPI Enumerated	January 27, 2015

Payer Source	Total Paid
Medicare	$46K
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
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…	460	$70	$33.9K
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…	130	$50	$6.8K
95251	A provider analyzes and interprets data from a patient’s continuous glucose monitor (CGM) and writes a report based on interpretation. This code represents the professional component of the service…	210	$20	$4.5K
99203	The provider sees a new 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 provider…	10	$70	$810

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. Oregon Distribution

Melanie Westfall — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oregon

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	304	6,070	80	$70	$10.3K
99213	1,212	5,480	60	$50	$5.7K
99203	1,701	1,790	30	$70	$3K
95251	4	60	60	$20	$1.8K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Asante Physician Partners	OR	Family Medicine Physician	$0	$27.2M
Charles Carmeci	OR	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$288.4K	$0
Hammad Qadir	OR	Nephrology Physician	$277.5K	$8K
Lina Dorfmeister	OR	Pain Medicine Physician	$211K	$0
William Faught	OR	Surgery Physician	$204.6K	$0
Gheorghe Cazan	OR	Specialist	$171K	$0
Sushanta Goswami	TX	Internal Medicine Physician	$170.8K	$0
Paul Digiorgi	FL	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$159.1K	$0
Alex Nelson	UT	Interventional Pain Medicine Physician	$123K	$28.5K
David Traul	OR	Surgery Physician	$144.8K	$0

Melanie Westfall — Billing Profile & Reimbursement Data

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Melanie Westfall — 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

Frequently Asked Questions

References