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

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

Mae Whelan (NPI 1528388345)

Field	Value
Entity Type	Individual
Organization	Mae Whelan
Address	194 Howard St
City	New London
State	CT
ZIP	06320
Taxonomy	Endocrinology, Diabetes & Metabolism Physician
NPI Enumerated	June 3, 2010

Payer Source	Total Paid
Medicare	$94.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0897	Injection, denosumab, 1 mg	2,280	$20	$41K
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…	350	$100	$33.8K
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…	150	$60	$9.2K
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…	120	$30	$3.2K
95250	In this procedure, interstitial glucose levels are measured at regular intervals via subcutaneously implanted sensors provided by physician or other qualified health care professional's office for a…	20	$120	$2K
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	200	$10	$1.8K
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…	20	$80	$1.4K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	50	$10	$520
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	30	$20	$500

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Connecticut Distribution

Mae Whelan — 1 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0897	54	100	2,700	$20	$66.4K
99214	773	6,480	90	$90	$14.2K
99213	1,685	6,440	70	$60	$8.1K
99203	1,671	2,250	30	$80	$3.5K
95250	8	10	20	$120	$3K
95251	15	120	60	$30	$1.8K
96372	156	270	60	$10	$1K
99211	60	150	30	$20	$790
83036	28	700	40	$10	$580

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lawrence And Memorial Hospital, Inc.	CT	General Acute Care Hospital	$0	$136.1M
Child And Family Agency Of Southeastern Connecticut, Inc.	CT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.7M
Connecticut Behavioral Health Assoc, P.C.	CT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.6M
City Of New London	CT	Land Ambulance	$326K	$4.7M
New London Public Schools	CT	Student in an Organized Health Care Education/Training Program	$0	$4.2M
Sound Community Services, Inc.	CT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.7M
Helar Campos Md & Associates Family Medical Center, LLC	CT	Family Medicine Physician	$0	$3.5M
New London Dental Care, LLC	CT	General Practice Dentistry	$0	$2.9M
Dva Healthcare Of New London LLC	CT	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.9M
Child And Family Agency Of Southeastern Connecticut, Inc.	CT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.8M

Mae Whelan — Billing Profile & Reimbursement Data

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Mae Whelan — 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