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

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

Paula Hall (NPI 1558455899)

Field	Value
Entity Type	Individual
Organization	Paula Hall
Address	300 E Boyd Ave
City	Greenfield
State	IN
ZIP	46140
Taxonomy	Colon & Rectal Surgery Physician
NPI Enumerated	October 3, 2006

Payer Source	Total Paid
Medicare	$19.6K
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
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	80	$170	$14.3K
45388	In this procedure, the provider performs flexible colonoscopy to destroy one or more tumors, polyps, or other lesions. The procedure includes, but does not require, guide wire passage and dilating…	10	$210	$2.9K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	30	$100	$2.4K

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. Indiana Distribution

Paula Hall — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
45385	157	370	60	$260	$26.5K
45380	237	340	40	$140	$8.6K
45388	3	10	10	$230	$3.8K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Carolina Therapy Services Inc	NC	Speech-Language Pathologist	$0	$17.8M
American Health Network Of Indiana, LLC	IN	Internal Medicine Physician	$0	$15.3M
American Health Network Of Indiana, LLC	IN	Clinical Medical Laboratory	$2.2M	$1.6M
Rita Singh-parikshak	IN	Ophthalmology Physician	$1.5M	$0
Naveed Chowhan	IN	Hematology & Oncology Physician	$910.4K	$0
David Szczesniak	OH	Diagnostic Radiology Physician	$588.2K	$0
Jamie Giesbrandt	NM	Diagnostic Radiology Physician	$385.5K	$0
Jayakrishnakamal Konijeti	IN	Nephrology Physician	$373.9K	$0
Nitie Sroa	OH	Podiatrist	$332.2K	$0
Monish Merchant	FL	Vascular & Interventional Radiology Physician	$306.8K	$120

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hancock Regional Hospital	IN	General Acute Care Hospital	$0	$5.8M
Therapy And Behavior Services, LLC	IN	Multi-Specialty Clinic/Center	$0	$5.4M
Hancock Physician Network, LLC	IN	Family Medicine Physician	$0	$4.6M
Mh Solutions	IN	Community/Behavioral Health Agency	$0	$4M
Developmental Disabilities Systems, Inc	IN	Developmentally Disabled Services Day Training Agency	$0	$3.4M
City Of Greenfield	IN	Ambulance	$250.8K	$1.1M
Lori Sanford	IN	Dermatology Physician	$327.9K	$44.7K
Hancock Regional Surgery Center, LLC	IN	Ambulatory Surgical Clinic/Center	$280.7K	$0
Khaled Dajani	IN	Cardiovascular Disease Physician	$120.9K	$116.4K
Hancock Health Gateway Services, Inc.	IN	Clinical Medical Laboratory	$93.6K	$126.5K

Paula Hall — Billing Profile & Reimbursement Data

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Paula Hall — 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