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

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

Kelly Cooke (NPI 1528276417)

Field	Value
Entity Type	Individual
Organization	Kelly Cooke
Address	721 American Ave Ste 508
City	Waukesha
State	WI
ZIP	53188
Taxonomy	Hospice and Palliative Medicine (Internal Medicine) Physician
NPI Enumerated	May 21, 2007

Payer Source	Total Paid
Medicare	$41.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	250	$100	$24.7K
G2212	Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary…	550	$20	$12.5K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	30	$130	$4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wisconsin Distribution

Kelly Cooke — 2 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99215	110	3,320	30	$110	$6.3K
99205	345	1,070	20	$140	$4K
G2212	1	190	30	$20	$1.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Prohealth Medical Group Inc.	WI	Pediatrics Physician	$0	$8.2M
Douglas Marx	WI	Family Medicine Physician	$789.6K	$15.9K
Christopher Burnett	WI	MOHS-Micrographic Surgery Physician	$298.5K	$0
Sarfraz Sidhu	WI	Internal Medicine Physician	$232.6K	$0
Hannah Song	WI	Dermatology Physician	$222.3K	$0
David Letzer	WI	Infectious Disease Physician	$213.8K	$0
Matthew Weinberg	WI	Cardiovascular Disease Physician	$170.5K	$0
Mark Hwang	CT	Radiation Oncology Physician	$160.9K	$0
Brian Lee	WI	Dermatology Physician	$158.8K	$0
Ismael Yussuf	DC	Internal Medicine Physician	$154.3K	$2.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Prohealth Waukesha Memorial Hospital, Inc.	WI	General Acute Care Hospital	$0	$21.5M
Waukesha County	WI	Case Management Agency	$0	$18M
Waukesha County	WI	Community/Behavioral Health Agency	$0	$15M
Hometown Hospice & Homecare Inc	WI	Community Based Hospice Care Agency	$0	$12.1M
Neurotech, LLC	WI	Physiological Laboratory	$145.8K	$7.8M
Commonheart, Inc.	WI	Community Based Hospice Care Agency	$0	$7.2M
Kinex Medical Company LLC	WI	Durable Medical Equipment & Medical Supplies	$0	$7.1M
Waukesha County	WI	Community/Behavioral Health Agency	$0	$3.2M
Oxygen One, Inc.	WI	Oxygen Equipment & Supplies (DME)	$0	$2.8M
Waukesha County Community Dental Clinic, Inc.	WI	Dental Clinic/Center	$0	$2.3M

Kelly Cooke — Billing Profile & Reimbursement Data

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Kelly Cooke — 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