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

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

Catherine Ham (NPI 1609073139)

Field	Value
Entity Type	Individual
Organization	Catherine Ham
Address	11958 W Broad St
City	Richmond
State	VA
ZIP	23233
Taxonomy	Neurology Physician
NPI Enumerated	June 28, 2007

Payer Source	Total Paid
Medicare	$55.5K
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
J0585	Injection, onabotulinumtoxina, 1 unit	6,650	$10	$33.2K
64615	The provider bilaterally administers a chemical compound to the muscles innervated by the trigeminal, facial, cervical spinal, and accessory nerves. The goal of this procedure is to paralyze the…	170	$100	$17.4K
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…	50	$70	$3.5K
99204	The provider sees a new 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 provider…	20	$100	$2.4K

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. Virginia Distribution

Catherine Ham — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0585	28	60	6,400	$1	$51.9K
99214	9,525	12,890	140	$80	$21K
99204	4,481	6,850	40	$110	$5.9K
64615	2	50	40	$100	$5.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
National Seating & Mobility, Inc.	VA	Durable Medical Equipment & Medical Supplies	$0	$11.5M
Lucy Transportation Inc	VA	Non-emergency Medical Transport (VAN)	$0	$10M
Tedla Corporation	VA	Non-emergency Medical Transport (VAN)	$0	$9.8M
William Gillen	VA	MOHS-Micrographic Surgery Physician	$1.1M	$0
Matthew Wallace	VA	MOHS-Micrographic Surgery Physician	$1M	$0
Andrew Michael	VA	Ophthalmology Physician	$760.3K	$0
Joseph Iuorno	VA	Ophthalmology Physician	$534.2K	$0
Yaoming Gu	VA	Interventional Pain Medicine Physician	$444.9K	$0
Victoria Gross	VA	Dermatology Physician	$423.6K	$0
Wayne Shaia	VA	Specialist	$397.1K	$0

Catherine Ham — Billing Profile & Reimbursement Data

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Catherine Ham — 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