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

Why is the Medicaid comparison limited to New Mexico 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. New Mexico (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.

Margaret Gavin (NPI 1548681349)

Field	Value
Entity Type	Individual
Organization	Margaret Gavin
Address	4801 Beckner Rd Level 1 Pod 2 Ste 1650
City	Santa Fe
State	NM
ZIP	87507
Taxonomy	Nurse Practitioner
NPI Enumerated	December 20, 2013

Payer Source	Total Paid
Medicare	$22.1K
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
27130	In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…	90	$130	$11.3K
27447	In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…	70	$130	$9.9K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	30	$30	$860

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. New Mexico Distribution

Margaret Gavin — 1 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27447	8	70	40	$1,270	$52.1K
27130	2	40	20	$900	$28.9K
20610	148	210	50	$50	$4.9K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Scott Herbert	NM	Hematology & Oncology Physician	$312.4K	$0
David Snyder	NM	Hematology & Oncology Physician	$286.8K	$0
John Garcia	NM	Orthopaedic Surgery Physician	$262.2K	$0
David Brown	NM	Otolaryngology Physician	$257.6K	$0
Kathryn Chan	NM	Hematology & Oncology Physician	$238.2K	$0
Fei Gu	NM	Medical Oncology Physician	$207.9K	$0
Karen Lorusso	NM	Hematology & Oncology Physician	$176.7K	$0
Clifton Layman	TX	Hematology & Oncology Physician	$174.7K	$0
Trisha Patel	NM	Dermatology Physician	$167.5K	$0
Anna-maria De Costa	NM	Radiation Oncology Physician	$88.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Santa Fe Recovery Center Inc	NM	Substance Abuse Rehabilitation Facility	$0	$22M
Presbyterian Healthcare Services	NM	General Acute Care Hospital	$0	$21.6M
Presbyterian Medical Services	NM	Federally Qualified Health Center (FQHC)	$0	$16.4M
Los Amigos, LLC	NM	Case Management Agency	$0	$12.9M
Home Medical Equipment Specialists, LLC	NM	Durable Medical Equipment & Medical Supplies	$0	$11.5M
Teambuilders Behavioral Health, LLC	NM	Community/Behavioral Health Agency	$0	$9.5M
Aspen Medical Group LLC	NM	Urgent Care Clinic/Center	$0	$6.4M
New Vistas	NM	Developmentally Disabled Services Day Training Agency	$0	$6.3M
La Familia Medical Center	NM	Federally Qualified Health Center (FQHC)	$0	$4.7M
St. Vincent Hospital	NM	Pediatrics Physician	$0	$4.7M

Margaret Gavin — Billing Profile & Reimbursement Data

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Margaret Gavin — 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