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

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

Melinda Harpster (NPI 1538436407)

Field	Value
Entity Type	Individual
Organization	Melinda Harpster
Address	2111 Claremont Ave
City	Ashland
State	OH
ZIP	44805
Taxonomy	Family Nurse Practitioner
NPI Enumerated	November 21, 2011

Payer Source	Total Paid
Medicare	$5.9K
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
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…	50	$70	$3K
G0296	Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making)	130	$20	$2.8K
99406	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.	10	$10	$140

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. Ohio Distribution

Melinda Harpster — 1 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	14,340	20,010	100	$70	$11.7K
G0296	3	60	20	$20	$800
99406	161	190	30	$10	$430

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Samaritan Regional Health System	OH	General Acute Care Hospital	$0	$10.4M
Appleseed Community Mental Health Center Inc	OH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.9M
City Of Ashland	OH	Ambulance	$373.2K	$522.8K
John Peck	OH	Urology Physician	$355.7K	$0
Matthew Bernhard	OH	Orthopaedic Surgery Physician	$353.7K	$0
Mohinder Gupta	OH	Ophthalmology Physician	$227.1K	$0
Ramy Abou Ghayda	OH	Urology Physician	$96.9K	$0
Andrew Stein	OH	Otolaryngic Allergy Physician	$87.6K	$200
Julie Kiley	OH	Family Nurse Practitioner	$85.9K	$0
Yulanka Castro-dominguez	OH	Interventional Cardiology Physician	$77.5K	$0

Melinda Harpster — Billing Profile & Reimbursement Data

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Melinda Harpster — 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