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

Why is the Medicaid comparison limited to New Mexico 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. New Mexico (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.

Gloria Howard (NPI 1568180933)

Field	Value
Entity Type	Individual
Organization	Gloria Howard
Address	3001 Broadmoor Blvd Ne
City	Rio Rancho
State	NM
ZIP	87144
Taxonomy	Family Nurse Practitioner
NPI Enumerated	August 22, 2022

Payer Source	Total Paid
Medicare	$1.9K
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
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…	20	$40	$860
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	$50	$770
92504	In this diagnostic procedure, the provider uses a microscope to examine the ears of a patient. He may also sometimes examine the patient’s nose for direct visualization to help with diagnosis…	50	$10	$280

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. New Mexico Distribution

Gloria Howard — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	2,078	2,440	60	$50	$7.3K
99203	687	870	30	$60	$3.3K
92504	8	10	50	$10	$460

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Unm Sandoval Regional Medical Center, Inc	NM	General Acute Care Hospital	$0	$27.4M
Enchanted Hills Home Healthcare Agency, Inc.	NM	Home Health Agency	$0	$21.3M
City Of Rio Rancho	NM	Ambulance	$555.1K	$4M
Fresenius Medical Care Clearancewater, LLC	NM	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.6M
Making An Impact LLC	NM	Substance Abuse Rehabilitation Facility	$0	$1.8M
Making An Impact LLC	NM	Substance Abuse Rehabilitation Facility	$0	$1.7M
Crystal Cardwell	NM	Family Medicine Physician	$23.4K	$0
Nathaniel Reeve	NM	Otolaryngology Physician	$15K	$0
Jeriann Peter	NM	Family Nurse Practitioner	$9.4K	$0
Roy Skousen	NM	Anesthesiology Physician	$4.3K	$0

Gloria Howard — Billing Profile & Reimbursement Data

Sign up for Gloria Howard — Billing Profile & Reimbursement Data policy alerts

Gloria Howard — Billing Profile & Reimbursement Data

Sign up for Gloria Howard — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References