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

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

Carolyn Concia (NPI 1568419091)

Field	Value
Entity Type	Individual
Organization	Carolyn Concia
Address	2308 Nw Stimpson Ln
City	Portland
State	OR
ZIP	97229
Taxonomy	Gerontology Nurse Practitioner
NPI Enumerated	May 30, 2006

Payer Source	Total Paid
Medicare	$30.2K
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
99443	N/A	160	$90	$13.3K
99487	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	140	$90	$11.9K
99350	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…	50	$110	$5.1K

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. Oregon Distribution

Carolyn Concia — 1 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oregon

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99487	3	10	130	$100	$11.8K
99350	20	50	40	$120	$9.8K
99443	3	210	20	$70	$2.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Another Chance Clinical Services LLC	OR	Community/Behavioral Health Agency	$0	$2.9M
Denny Le	OR	Foot & Ankle Surgery Podiatrist	$96.4K	$0
Clifford Mah	OR	Foot & Ankle Surgery Podiatrist	$84.8K	$0
Jerry Lawrence	OR	Emergency Medicine Physician	$74.3K	$0
Walgreen Co	OR	Pharmacy	$70.3K	$0
Walgreen Co	OR	Pharmacy	$68.6K	$0

Carolyn Concia — Billing Profile & Reimbursement Data

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Carolyn Concia — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References