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

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

Jennifer Decarlo (NPI 1508297466)

Field	Value
Entity Type	Individual
Organization	Jennifer Decarlo
Address	2150 Stadium Dr
City	Boulder
State	CO
ZIP	80309
Taxonomy	Acute Care Nurse Practitioner
NPI Enumerated	December 3, 2013

Payer Source	Total Paid
Medicare	$17.8K
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
J7321	Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	90	$60	$5.4K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	100	$50	$5.2K
J7318	Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg	840	$10	$4.2K
20611	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…	20	$80	$1.7K
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…	20	$50	$1.1K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	150	$1	$150

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. Colorado Distribution

Jennifer Decarlo — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J7318	49	50	1,710	$10	$11K
J7321	10	20	90	$60	$7.5K
99213	6,141	7,200	70	$60	$6.6K
20611	139	190	40	$80	$4.9K
20610	160	730	40	$50	$3.9K
J3301	415	790	160	$1	$250

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laura Kaiser	CO	Surgical Physician Assistant	$94K	$0
Gregory Arends	CO	Physical Medicine & Rehabilitation Physician	$87.4K	$0
Boulder Community Health Sports Medicine Imaging LLC	CO	Radiology Clinic/Center	$37.5K	$880
Sherrie Ballantine-talmadge	CO	Family Medicine Physician	$31.8K	$0
Emily Richardson	CO	Clinical Neuropsychologist	$23K	$0
Elizabeth Pancoast	CO	Audiologist	$3.1K	$0

Jennifer Decarlo — Billing Profile & Reimbursement Data

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Jennifer Decarlo — 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