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

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

Michelle Ernest (NPI 1609218205)

Field	Value
Entity Type	Individual
Organization	Michelle Ernest
Address	6262 Veterans Pkwy
City	Columbus
State	GA
ZIP	31909
Taxonomy	Nurse Practitioner
NPI Enumerated	July 24, 2013

Payer Source	Total Paid
Medicare	$8.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 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…	30	$80	$2.6K
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	$50	$2.4K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	20	$100	$2.1K
28292	The provider removes bone from a bunion, a foot deformity that causes a bump near where the big toe joins the foot. The provider also may remove the sesamoid bones (pea–shaped bones under the big toe…	10	$50	$500
73630	In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.	30	$20	$490
28122	In this procedure, the provider removes the infected portion of the tarsal or metatarsal bone, not including the talus or calcaneus, using craterization, saucerization, or diaphysectomy.	10	$30	$360
G0444	Annual depression screening, 5 to 15 minutes	20	$10	$340
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	20	$10	$130

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Georgia Distribution

Michelle Ernest — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	11,225	13,640	120	$80	$17.8K
G0439	2,413	2,900	70	$120	$12.4K
99213	9,091	13,360	80	$60	$9.2K
28122	4	10	30	$240	$6.3K
28292	4	10	20	$230	$4.1K
36415	2,787	3,010	100	$10	$3.2K
G0444	771	990	60	$20	$1.6K
73630	599	930	40	$20	$1.5K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hughston Clinic, P.C.	GA	Orthopaedic Surgery Physician	$0	$789.9K
John Dorchak	GA	Orthopaedic Surgery Physician	$458.7K	$0
Garland Gudger	GA	Orthopaedic Surgery Physician	$350.4K	$0
Dustin Gay	GA	Orthopaedic Surgery Physician	$306.3K	$0
Benjamin Schwartz	MA	Orthopaedic Surgery Physician	$303.7K	$0
Brook Bearden	GA	Orthopaedic Surgery Physician	$296.5K	$0
Randall Ruark	GA	Orthopaedic Surgery Physician	$291.5K	$0
Matthew Sarb	TN	Orthopaedic Surgery Physician	$286.5K	$0
Aaron Schrayer	TX	Orthopaedic Trauma Physician	$279.1K	$0
Patrick Fernicola	GA	Orthopaedic Surgery Physician	$239.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Easter Seals West Georgia, Inc	GA	Developmentally Disabled Services Day Training Agency	$0	$14.3M
Rivertown Psychiatry, PC	GA	Psychiatry Physician	$0	$4.2M
North Columbus Surgery Center LLC	GA	Ambulatory Surgical Clinic/Center	$1.2M	$0
Hughston Surgical Center LLC	GA	Ambulatory Surgical Clinic/Center	$589.8K	$0
Pediatric Acute Care Of Columbus, P.C.	GA	Pediatrics Physician	$0	$376.3K
Hares Akbary	GA	Pain Medicine (Anesthesiology) Physician	$331.8K	$0
The Surgery Center, LLC	GA	Ambulatory Surgical Clinic/Center	$224.6K	$0
Ryan Geringer	GA	Orthopaedic Surgery Physician	$224.4K	$0
Josue Becerra	GA	Psychiatry Physician	$196.5K	$27.8K
Daniel Serrato	GA	Interventional Pain Medicine Physician	$223.1K	$0

Michelle Ernest — Billing Profile & Reimbursement Data

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Michelle Ernest — 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