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 Armed Forces Pacific for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Armed Forces Pacific 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. Armed Forces Pacific (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.

Melinda Armstrong (NPI 1558349928)

Melinda Armstrong is a physician assistant provider located in Apo, Armed Forces Pacific. This profile covers 16 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services. Note: "AP" is a US military postal designation for Armed Forces stationed in the Asia-Pacific region — not a traditional US state; claims coded under it are grouped and benchmarked here the same way a traditional state would be.

Key Findings

Field	Value
Entity Type	Individual
Organization	Melinda Armstrong
Address	Kwajalein Hospital
City	Apo
State	AP (Armed Forces Pacific)
ZIP	96555
Taxonomy	Physician Assistant
NPI Enumerated	January 5, 2006

Payer Source	Total Paid
Medicare	$28.9K
Medicaid	$0

This provider’s billing footprint is narrowly Medicare-focused: lifetime Medicare revenue is $28.9K and there is no Medicaid billing on file, so the practice is effectively single-payer with Medicare as the sole reported public payer. Analysts should treat any Medicaid-related competitive or access questions as not applicable based on the available data.

Revenue concentration is substantial: the precomputed top 3 Medicare codes account for 55.8% of the provider’s total Medicare revenue, indicating that a small set of services—primarily office visits at higher E/M levels—drive the majority of income. This concentration suggests the provider’s day-to-day work is dominated by evaluation-and-management visits rather than high-volume procedures or durable medical services.

The top individual Medicare revenue driver is 99214 (established outpatient E/M), which generated $7.8K or 27.1% of the provider’s Medicare revenue and sits at the 46th national percentile for volume. That rank and percentile indicate a typical, unremarkable volume relative to peers nationally: the provider is not a high-volume specialist for this code but relies on it as a core service.

High-complexity visits are also prominent: 99204 and 99215 together contribute $4.3K (14.9%) and $4K (13.8%) respectively to Medicare revenue, and these three E/M codes collectively explain the precomputed 55.8% share. The mix of new-patient (99204) and established-patient (99214, 99215) E/M codes points to a general outpatient practice workflow that includes both initial evaluations and more complex follow-ups.

The provider bills COVID and respiratory testing codes at meaningful rates: U0002 accounts for $3.1K (10.8% of Medicare revenue) and ranks in the 85th national percentile, while 87635 and 87804 together add another ~16% of revenue. U0002’s relatively high percentile signals above-typical activity in SARS-CoV-2 testing compared with national peers, suggesting the practice handled a notable volume of COVID testing during the measurement window.

Volume and intensity profile is modest across most codes: several common point-of-care and lab codes (87804 influenza test, 87635 NAAT SARS-CoV-2, 99203/99213 lower-intensity E/Ms) are within typical national percentiles and many codes show low per-claim payments, implying brief office encounters and point-of-care testing are routine parts of operations. There are no extreme outliers or dominant national rankings that would indicate a major national market role.

Tenure is long but not recent: the provider’s NPI was enumerated on 2006-01-05 (~20 years ago), indicating a stable presence in the Medicare billing system over multiple years. That longevity supports interpreting observed patterns as established practice behavior rather than short-term anomalies.

Competitive standing by code is generally modest: the highest-ranked code by percentile is U0002 at the 85th percentile nationally, which is notably above typical activity for that test, but most high-revenue E/M codes fall near the middle percentiles (44th–63rd range) or lower, consistent with a local outpatient clinician rather than a national-volume center. There is no Medicaid presence to assess state-level competitive position in that payer arena.

Medicare: Complete Services Breakdown

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

16 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…	90	$80	$7.8K
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…	50	$100	$4.3K
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…	30	$120	$4K
U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	60	$50	$3.1K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	40	$50	$1.9K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	110	$20	$1.7K
99205	The provider sees a new 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 provider…	10	$140	$1.7K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	20	$70	$1.6K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	30	$60	$1.5K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	20	$20	$380

Showing 1–10 of 16

Melinda Armstrong — Billing Profile & Reimbursement Data

Sign up for Melinda Armstrong — Billing Profile & Reimbursement Data policy alerts

Melinda Armstrong — Billing Profile & Reimbursement Data

Sign up for Melinda Armstrong — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	6	20	60	$80	$9.1K
99213	10	10	30	$50	$4.2K
99204	3	10	30	$100	$3.5K
U0002	1	10	60	$50	$3.1K
99203	4	10	20	$60	$2.6K
99215	1	10	20	$100	$2.4K
71046	5	10	150	$10	$2.1K
87635	1	10	40	$50	$1.9K
99205	1	10	10	$140	$1.7K
87804	1	10	90	$20	$1.3K