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

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

Rachel Pope (NPI 1558505966)

Field	Value
Entity Type	Individual
Organization	Rachel Pope
Address	29 Medical Center Lane, Suite A
City	Guntersville
State	AL
ZIP	35976
Taxonomy	Psychiatry Physician
NPI Enumerated	April 29, 2009

Payer Source	Total Paid
Medicare	$37.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 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…	130	$80	$10.8K
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…	180	$60	$9.8K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	150	$50	$7.3K
99441	N/A	100	$30	$3.4K
99442	N/A	50	$60	$3K
90836	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient in addition to an evaluation and management service in the…	50	$60	$2.9K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Alabama Distribution

Rachel Pope — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	3,389	7,330	120	$80	$16.8K
99213	1,579	6,470	80	$50	$7.9K
90833	47	160	90	$40	$7.1K
90836	6	20	30	$60	$2.9K
99442	51	220	30	$50	$2.2K
99441	3	90	20	$30	$870

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Raymond Fernandez	AL	Cardiovascular Disease Physician	$227.4K	$0
Gary Calhoun	AL	Family Medicine Physician	$177.8K	$0
Enrico Gaspar	AL	Internal Medicine Physician	$108.8K	$0
Rommel Go	AL	Family Medicine Physician	$97.5K	$0
Sukhmanpreet Singh	AL	Hospitalist Physician	$88.5K	$0
Andrew Christie	AL	Internal Medicine Physician	$85.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Marshall County Pediatrics, PC	AL	Specialist	$0	$5.4M
Premier Family Care, LLC	AL	Rural Health Clinic/Center	$0	$3.5M
Hh Health System - Marshall LLC	AL	Land Ambulance	$967.5K	$952.4K
Marshall Medical Center North	AL	Emergency Medicine Physician	$0	$1.9M
Vivian Nell Hannon	AL	Rural Health Clinic/Center	$0	$1.5M
Matthew Ticola Dmd LLC	AL	Pediatric Dentistry	$0	$1.2M
North Marshall Pediatrics, P.C.	AL	Pediatrics Physician	$0	$928.4K
Marshall County Health Dept Fp Clinic	AL	Public Health or Welfare Agency	$0	$845.2K
Joshua Wharton	AL	Dermatology Physician	$467.3K	$0
David Campbell	AL	Family Medicine Physician	$357.7K	$0

Rachel Pope — Billing Profile & Reimbursement Data

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Rachel Pope — 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