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

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

Penelope Carmichael (NPI 1558422840)

Field	Value
Entity Type	Individual
Organization	Penelope Carmichael
Address	200 Retreat Avenue
City	Hartford
State	CT
ZIP	06106
Taxonomy	Psychiatry Physician
NPI Enumerated	December 12, 2006

Payer Source	Total Paid
Medicare	$28.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	620	$40	$26K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	30	$90	$3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Connecticut Distribution

Penelope Carmichael — 1 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99239	492	760	50	$90	$6.8K
99231	3	1,000	40	$40	$2.5K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Prospect Manchester Hospital, Inc.	CT	General Acute Care Hospital	$0	$69.2M
Prospect Rockville Hospital, Inc.	CT	General Acute Care Hospital	$0	$30M
Terrence Oder	CT	Nephrology Physician	$293.4K	$0
Martin Cooper	CT	Geriatric Psychiatry Physician	$283.7K	$0
Osman Qureshi	CT	Psychiatry Physician	$244.8K	$0
Robert Oberstein	CT	Endocrinology, Diabetes & Metabolism Physician	$222.5K	$0
John Granquist	CT	Cardiovascular Disease Physician	$218.7K	$0
Tamer Bahgat	MA	Physician Assistant	$56.7K	$124K
Neil Parikh	CT	Gastroenterology Physician	$178.8K	$0
Kristin D'alfonso	CT	Medical Physician Assistant	$173.3K	$0

Penelope Carmichael — Billing Profile & Reimbursement Data

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Penelope Carmichael — 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

Frequently Asked Questions

References