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

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

Helen Gipson (NPI 1508925876)

Field	Value
Entity Type	Individual
Organization	Helen Gipson
Address	217 A East Camp Wisdom Rd
City	Duncanville
State	TX
ZIP	75116
Taxonomy	Podiatrist
NPI Enumerated	December 6, 2006

Payer Source	Total Paid
Medicare	$67.8K
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
11765	The provider performs a wedge excision of the skin of the nail fold at the lateral margin (groove) of a nail, such as an ingrown toenail.	520	$100	$49.2K
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…	160	$60	$8.9K
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…	50	$70	$3.5K
99342	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a low level of medical decision making or the provider spends at least 30…	40	$60	$2.6K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	40	$50	$1.9K
11721	The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.	50	$40	$1.6K

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. Texas Distribution

Helen Gipson — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
11765	5	50	50	$100	$18K
11721	496	630	140	$30	$9K
99213	17,368	29,790	70	$60	$8.4K
99348	161	780	60	$50	$6K
99342	58	160	30	$50	$3K
99212	2,095	5,510	30	$40	$2.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Advance Alliance, Inc.	TX	Home Health Agency	$0	$12.7M
Travicia Garrett	TX	Family Nurse Practitioner	$1.3M	$0
Harold Delasalas	TX	Allergy & Immunology Physician	$78.6K	$34.6K
Paulette Nairne	TX	Podiatrist	$90.5K	$0
Amir Jalali	TX	Physical Medicine & Rehabilitation Physician	$73K	$0

Helen Gipson — Billing Profile & Reimbursement Data

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Helen Gipson — 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