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

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

Amanda Theriault (NPI 1548997521)

Field	Value
Entity Type	Individual
Organization	Amanda Theriault
Address	417 State St Ste 321
City	Bangor
State	ME
ZIP	04401
Taxonomy	Adult Health Nurse Practitioner
NPI Enumerated	August 1, 2022

Payer Source	Total Paid
Medicare	$9.9K
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…	60	$80	$4.7K
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…	40	$110	$4K
G0420	Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour	20	$60	$1.2K

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. Maine Distribution

Amanda Theriault — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,410	2,500	70	$70	$7.2K
99204	255	810	30	$100	$3.6K
G0420	1	10	20	$60	$1.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northeast Nephrology PA	ME	Nephrology Physician	$0	$1.1M
Stephen Comeau	ME	Nephrology Physician	$239.8K	$0
Manish Nepal	ME	Nephrology Physician	$104.3K	$0
Mihail Soare	ME	Nephrology Physician	$104.2K	$0
Hui Liu	ME	Nephrology Physician	$101.7K	$0
Michael Mcgoldrick	ME	Nephrology Physician	$99.4K	$0

Amanda Theriault — Billing Profile & Reimbursement Data

Sign up for Amanda Theriault — Billing Profile & Reimbursement Data policy alerts

Amanda Theriault — Billing Profile & Reimbursement Data

Sign up for Amanda Theriault — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References