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

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

Lori Hixon (NPI 1538464896)

Field	Value
Entity Type	Individual
Organization	Lori Hixon
Address	19 Henry St
City	Sharon
State	MA
ZIP	02067
Taxonomy	Adult Health Nurse Practitioner
NPI Enumerated	January 18, 2011

Payer Source	Total Paid
Medicare	$124.4K
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
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	840	$100	$82.1K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	210	$110	$23.5K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	260	$70	$19K

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. Massachusetts Distribution

Lori Hixon — 2 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	442	840	300	$80	$37.8K
99310	9	510	80	$110	$15.4K
90792	8	360	20	$130	$5K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Susan Corey	DE	Psychiatric/Mental Health Nurse Practitioner	$134K	$347.4K
Sasheen Hazel	MA	Psychologist	$129.5K	$245.9K
Emelda Njei	DE	Psychiatric/Mental Health Nurse Practitioner	$30K	$297.4K
Robert Maron	MA	Psychologist	$155.1K	$138.4K
Mazen Eneyni	MA	Neurology Physician	$200.3K	$6.3K
Oscar Bernal	RI	Neurology Physician	$202.8K	$0
Nancy Huggins	MA	Nurse Practitioner	$182.9K	$0
Anna Somerto	MA	Neurology Physician	$176.5K	$0
Marie Francis	—	Family Nurse Practitioner	$173.4K	$0
Corey Baechel	MA	Clinical Psychologist	$165.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Health And Social Services Consortium, Inc.	MA	Case Management Agency	$0	$31.2M
Danru Lee	MA	Internal Medicine Physician	$87.7K	$24.3K
Maura Ryan	MA	Adult Health Nurse Practitioner	$42.3K	$0
Patricia Walker	MA	Family Nurse Practitioner	$19.2K	$0

Lori Hixon — Billing Profile & Reimbursement Data

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Lori Hixon — 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