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

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

Kathleen Napoli (NPI 1598245946)

Field	Value
Entity Type	Individual
Organization	Kathleen Napoli
Address	109 State St Ste 5
City	Boston
State	MA
ZIP	02109
Taxonomy	Family Nurse Practitioner
NPI Enumerated	August 15, 2018

Payer Source	Total Paid
Medicare	$21.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 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…	120	$80	$9.5K
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…	30	$140	$4.5K
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	180	$20	$4K
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…	50	$60	$3.2K
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	30	$1	$110

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Massachusetts Distribution

Kathleen Napoli — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	5,749	15,410	110	$80	$15.6K
99213	6,249	13,700	70	$60	$8.8K
99205	763	2,430	30	$160	$5.5K
G0447	10	110	30	$30	$1.3K
96127	202	190	30	$1	$180

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tiffani Lemen	DE	Family Medicine Physician	$413.5K	$0
Arline Yen	CA	Endocrinology, Diabetes & Metabolism Physician	$187.1K	$0
Shanita Ausborn	GA	Family Nurse Practitioner	$80.5K	$0
Stacy Winters	VA	Nurse Practitioner	$56.2K	$0
Dana Burns	TX	Physician Assistant	$51K	$0
Timothy Lederer	MD	Family Nurse Practitioner	$49.5K	$0
Christina Beeman-partin	MD	Adult Health Nurse Practitioner	$40.7K	$0
Steven Donnelly	MD	Family Nurse Practitioner	$32.5K	$0
Stephanie Comer-concordia	MD	Nurse Practitioner	$31.7K	$0
Michele Gamble	MD	Family Nurse Practitioner	$25.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Public Partnerships-colorado, Inc.	MA	Supports Brokerage Agency	$0	$885.3M
Commonwealth Of Massachusetts	MA	Community/Behavioral Health Agency	$0	$35.2M
Commonwealth Of Massachusetts	MA	Case Management Agency	$0	$12.1M
Dara Pumphrey-ruiz	MA	Psychiatry Physician	$19.9K	$625.6K
Stephany Gyasi	MA	Family Nurse Practitioner	$297.5K	$0
Steven Afrow	MA	Gerontology Nurse Practitioner	$212.2K	$0
Corey Baechel	MA	Clinical Psychologist	$165.1K	$0
Erica Visco	MA	Family Nurse Practitioner	$142K	$0
Tatum Siebert	MA	Clinical Psychologist	$94.3K	$0
Arlie Sterling	MA	Clinical Psychologist	$82.4K	$0

Kathleen Napoli — Billing Profile & Reimbursement Data

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Kathleen Napoli — 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