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

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

Emily Carman (NPI 1548649973)

Field	Value
Entity Type	Individual
Organization	Emily Carman
Address	680 N Clarkson St
City	Denver
State	CO
ZIP	80218
Taxonomy	Family Nurse Practitioner
NPI Enumerated	May 18, 2015

Payer Source	Total Paid
Medicare	$60K
Medicaid	$0

Key Findings

This provider bills almost exclusively to Medicare — total Medicare revenue is $60K while Medicaid revenue is none (no Medicaid billing on file) — indicating an effectively single‑payer practice footprint in the available data. The absolute Medicare revenue is modest in scale, so Medicare dependency is concentrated but limited in dollar volume.

Revenue concentration is high: the top three Medicare CPT/HCPCS codes (99215, 99439, 99490) account for 89.2% of this provider's total Medicare revenue, and a single code, 99215, represents 64.5% of Medicare receipts. That concentration means a small set of services drives most billings and revenue.

The code mix indicates a primary care / longitudinal care model focused on high-complexity office visits and chronic care management: 99215 (high‑complexity established patient visits) is the dominant E/M code, while 99490 and 99439 (chronic care management and additional monthly staff time) and related chronic care time codes (99491, 99437) make up the remainder of the top billings. The presence of G2212 (prolonged outpatient E/M) further supports use of longer, complex encounters rather than procedure-driven activity.

Volume and payment detail reinforce the clinical mix: the provider submitted 353 claims for 99215 with an average paid per claim of $110 and $38.8K revenue, 265 claims for 99439 at $32 avg paid/claim for $8.5K revenue, and 155 claims for 99490 at $41 avg paid/claim for $6.4K revenue. These three line items dominate the claim count and paid‑per‑claim profile on the Medicare side.

Competitive standing varies by code: for 99215 the provider ranks #4204 of 145531 providers nationally (97th percentile; notably above typical national volume for this code), marking a strong national presence for high‑level E/M visits. By contrast, other top codes (99439, 99490, 99214, 99491, G2212, 99437) are described as typical or unremarkable volumes in their national peer distributions, indicating the provider is not broadly high‑volume across all chronic care codes.

Tenure is established but not long‑standing relative to many clinicians: the NPI was enumerated on 2015-05-18 (~11 years ago), so this billing profile reflects roughly a decade of potential Medicare participation. This tenure supports interpreting observed patterns as more than a short-term anomaly.

Operational and payer‑risk implications: because Medicaid billing is absent (none on file) and Medicare is the sole reported public payer, the provider’s revenue exposure is concentrated on Medicare policy and reimbursement trends, particularly around high‑level E/M and CCM billing. Any changes in Medicare E/M valuation, CCM policy, or audit focus on prolonged services could materially affect this provider given the reliance on 99215 and CCM series codes.

Medicare: Complete Services Breakdown

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

7 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…	350	$110	$38.8K
99439	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	270	$30	$8.5K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	160	$40	$6.4K
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	$80	$4K
99491	The provider, a physician or other healthcare professional, personally directs the evaluation and management of a patient with two or more chronic A physician or other qualified healthcare…	20	$60	$940
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…	40	$20	$920
99437	A physician or other qualified healthcare professional personally performs management and care plan services for a patient with two or more chronic conditions, expected to last at least one year or…	20	$40	$650

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Colorado Distribution

Emily Carman — 2 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	11	8,160	80	$80	$11.3K
99215	1	3,230	40	$110	$8.1K
99490	1	320	110	$40	$7.8K
99439	1	210	80	$40	$4.5K
99437	1	10	20	$40	$2.8K
99491	1	20	30	$60	$2.6K
G2212	1	190	50	$20	$1.9K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Goodness Health, LLC	CO	Multi-Specialty Clinic/Center	$0	$4.4M
Nathaniel Moore	CO	Family Medicine Physician	$640K	$0
Chandra Shaw	CO	Nurse Practitioner	$418.5K	$0
Stephanie Chiu	WY	Family Medicine Physician	$174.1K	$0
Jillian Cortez	CO	Adult Health Nurse Practitioner	$116.3K	$0
Nicole Khazei	CO	Primary Care Nurse Practitioner	$95K	$0
Juline Mclean-murray	CO	Adult Health Nurse Practitioner	$70.5K	$0
Alicia Geary	CO	Family Nurse Practitioner	$67.1K	$0
Jessica Peterson	CO	Family Nurse Practitioner	$64.9K	$0
Jamee Mccarthy	CO	Acute Care Nurse Practitioner	$59.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hca Healthone LLC	CO	General Acute Care Hospital	$0	$13.3M
Saint Joseph Hospital, Inc	CO	General Acute Care Hospital	$0	$12M
P2p Recovery Resources	CO	Substance Use Disorder Rehabilitation Clinic/Center	$0	$8.6M
Obstetrix Medical Group Of Colorado P C	CO	Neonatal-Perinatal Medicine Physician	$0	$7.8M
Eric S Yaeger Md PC	CO	Hospitalist Physician	$0	$3.7M
Robert Rifkin	CO	Hematology & Oncology Physician	$3.3M	$0
Ioana Hinshaw	CO	Hematology & Oncology Physician	$2.7M	$0
Sj East Campus Asc, LLC	CO	Ambulatory Surgical Clinic/Center	$1.1M	$0
Michele Basche	CO	Hematology & Oncology Physician	$854K	$0
Allen Cohn	CO	Hematology & Oncology Physician	$610.9K	$0

Emily Carman — 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