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

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

Nancy Russell (NPI 1558639831)

Field	Value
Entity Type	Individual
Organization	Nancy Russell
Address	4900 Babson Place Suite 600
City	Cincinnati
State	OH
ZIP	45227
Taxonomy	Primary Care Nurse Practitioner
NPI Enumerated	December 1, 2011

Payer Source	Total Paid
Medicare	$32K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	290	$80	$23.7K
G2212	Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary…	280	$20	$5.2K
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…	20	$100	$2.3K
G0180	Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review…	20	$30	$680

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Ohio Distribution

Nancy Russell — 2 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99215	80	4,950	30	$110	$5.9K
99205	979	2,130	20	$140	$4.2K
G2212	6	130	30	$20	$1.5K
G0180	362	750	20	$40	$1.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Cincinnati Physicians Company, LLC	OH	Family Medicine Physician	$0	$65.2M
The Christ Hospital Medical Associates, LLC	OH	Internal Medicine Physician	$0	$6.8M
Susannah Becker	OH	Endocrinology, Diabetes & Metabolism Physician	$281.6K	$0
Rita Schmid	IN	Internal Medicine Physician	$229.8K	$0
Paul Belany	OH	Endocrinology, Diabetes & Metabolism Physician	$212.7K	$0
Newton Bullard	OH	Internal Medicine Physician	$127.1K	$0
Amanda Denney	OH	Endocrinology, Diabetes & Metabolism Physician	$120.8K	$0
Michael Jennings	OH	Internal Medicine Physician	$108.5K	$0
Douglas Haas	OH	Infectious Disease Physician	$103.5K	$0
Sunil Dama	OH	Sleep Medicine (Internal Medicine) Physician	$71.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Children's Home Of Cincinnati Ohio, Inc	OH	Adolescent and Children Mental Health Clinic/Center	$0	$57.7M
Transitions Behavioral Health	OH	Community/Behavioral Health Agency	$0	$8.7M
In Home Health LLC	OH	Community Based Hospice Care Agency	$0	$8.2M
Haroon Chaudhry	OH	Ophthalmology Physician	$2.4M	$0
Slobodan Stanisic	OH	Hematology & Oncology Physician	$1.4M	$0
Hisham Arar	OH	Ophthalmology Physician	$476.8K	$0
Robert Cody	OH	Hematology & Oncology Physician	$427.3K	$0
Brian Mannion	OH	Hematology & Oncology Physician	$341.1K	$0
Patrick Kirk	OH	Orthopaedic Surgery Physician	$257K	$0
Edward Lim	OH	Orthopaedic Surgery Physician	$240.4K	$0

Nancy Russell — Billing Profile & Reimbursement Data

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Nancy Russell — 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