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

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

Jessica Dance (NPI 1538763909)

Field	Value
Entity Type	Individual
Organization	Jessica Dance
Address	659 W 45 S
City	Blackfoot
State	ID
ZIP	83221
Taxonomy	Family Nurse Practitioner
NPI Enumerated	November 25, 2020

Payer Source	Total Paid
Medicare	$22.9K
Medicaid	$0

Key Findings

The provider is a Family Nurse Practitioner whose Medicare billing is overwhelmingly office-based evaluation and management (E/M). The top two codes by revenue are 99214 (148 claims, $71 avg paid/claim, $10.5K revenue; 46.0% of Medicare revenue) and 99215 (90 claims, $104 avg paid/claim, $9.4K revenue; 41.0% of Medicare revenue), and the mix includes a few lower-acuity E/M visits and basic ECG work. This pattern is consistent with a primary-care, outpatient practice that manages established patients at moderate-to-high complexity and provides limited in-office diagnostic testing.

Medicare revenue is highly concentrated in a small set of E/M codes: the precomputed top-3 Medicare codes account for 91.5% of this provider's total Medicare revenue. In particular, 99214 (46.0%), 99215 (41.0%), and 99212 (4.6%) together dominate the revenue stream, which creates exposure to any reimbursement or coding policy changes affecting office E/M codes. This concentration means operational or payer changes targeting E/M valuation would materially affect the provider’s Medicare income.

This provider is effectively single-payer at the state level: total Medicare revenue is $22.9K while Medicaid shows none on file. The absence of Medicaid billing indicates either no participation in Medicaid or a caseload that does not include Medicaid-covered services, which concentrates payer risk on Medicare volume and reimbursement trends. Analysts should not assume dual-payer diversification for this NPI based on the billing on file.

Scale and caseload appear modest. Total Medicare revenue of $22.9K and claim counts such as 148 claims for 99214 and 90 claims for 99215 imply a relatively low-volume Medicare practice, and the provider does not appear to be a large-volume executor of these codes nationally. The rank for 99214 is #193258 of 479517 (59th percentile; typical, unremarkable volume for this code) and for 99215 is #33412 of 145531 (77th percentile; typical, unremarkable volume for this code), which suggests moderate national competitiveness for higher-complexity E/M but overall limited scale given the total revenue.

The code mix signals a predominantly established-patient patient panel with limited new-patient intake. New-patient code 99204 appears only 11 times for $1K revenue (4.4% of Medicare revenue), indicating most encounters are with returning patients rather than new patient evaluation visits. This has implications for growth strategy, referral patterns, and revenue expansion potential if new-patient throughput were increased.

Ancillary procedural activity is present but minor. Cardiac testing codes such as 93016 (50 claims, $650 revenue; 2.8% of Medicare revenue) and 93000 (35 claims, $280 revenue; 1.2% of Medicare revenue) represent small, supplemental diagnostic services likely performed in-office. These ancillary services augment the core E/M practice but do not materially drive revenue.

Tenure is relatively recent: the NPI was enumerated on 2020-11-25 (~6 years ago), indicating the provider has had a few years to establish a Medicare panel. When combined with the modest lifetime Medicare revenue and concentrated code mix, this tenure is consistent with a single-clinician, community-based practice in an early-to-mid operational stage rather than a long-established high-volume clinic. Analysts evaluating partnership or network opportunities should consider the limited Medicare footprint in negotiations.

Competitive standing across codes is mixed and generally modest. While 99215 activity ranks in the 77th percentile nationally (described in the source as "typical, unremarkable volume for this code"), most codes are characterized as typical and unremarkable in volume, and none indicate dominance in specialized or high-revenue procedural categories. Overall, the provider functions as a modest community primary-care contributor to Medicare rather than a dominant national or specialty player.

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
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…	150	$70	$10.5K
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…	90	$100	$9.4K
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	$30	$1.1K
99204	The provider sees a new 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 provider…	10	$90	$1K
93016	The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…	50	$10	$650
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	40	$10	$280

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. Idaho Distribution

Jessica Dance — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	6	2,690	90	$70	$10.4K
99215	2	810	40	$100	$6.5K
99204	7	1,180	30	$100	$4.2K
99212	1	620	30	$30	$1.5K
93016	1	60	50	$10	$930
93000	1	120	20	$10	$550

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bmh Inc.	ID	Rural Health Clinic/Center	$0	$5.8M
Ananda Walaliyadda	ID	Specialist	$3.9M	$0
Bmh Inc	ID	Critical Access Hospital	$0	$3.5M
Bmh Inc	ID	Rural Health Clinic/Center	$0	$2.6M
Bmh, Inc.	ID	Surgery Physician	$0	$2.3M
Bmh, Inc.	ID	Family Medicine Physician	$0	$864.1K
Bmh, Inc.	ID	Sports Medicine (Family Medicine) Physician	$0	$765.1K
Bmh Inc	ID	Family Medicine Physician	$0	$546.8K
William Nibley	UT	Medical Oncology Physician	$166K	$326K
Bmh, Inc	ID	Family Medicine Physician	$0	$459.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mvh Bmc LLC	ID	Rural Health Clinic/Center	$0	$11.6M
Camp Hippo Pediatric Therapy LLC	ID	Occupational Therapist	$0	$5.5M
J&m Mental Health, Inc.	ID	Social Worker	$0	$4.5M
Southeastern Idaho Developmental Center, Inc.	ID	Developmentally Disabled Services Day Training Agency	$0	$1.8M
Titan Willow Operator LLC	ID	Assisted Living Facility	$0	$1.5M
City Of Blackfoot	ID	Land Ambulance	$234.1K	$785.5K
Gables Holdings LLC	ID	Assisted Living Facility	$0	$1M
Blackfoot School Dist #55	ID	Local Education Agency (LEA)	$0	$997.5K
Stillwaters Counseling LLC	ID	Mental Health Counselor	$0	$814.8K
Lincare Inc.	ID	Durable Medical Equipment & Medical Supplies	$0	$698.1K

Jessica Dance — Billing Profile & Reimbursement Data

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Jessica Dance — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References