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

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

Opal Prevatt (NPI 1609255181)

Field	Value
Entity Type	Individual
Organization	Opal Prevatt
Address	37 Ball Park Rd
City	Harlan
State	KY
ZIP	40831
Taxonomy	Internal Medicine Physician
NPI Enumerated	May 29, 2015

Payer Source	Total Paid
Medicare	$52.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	160	$90	$13.4K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	60	$160	$9.7K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	160	$60	$9.4K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	100	$90	$9.3K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	30	$130	$3.5K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	40	$90	$3.5K
99235	The provider sees a patient for hospital inpatient or observation care involving evaluation and management (E/M), with an admission encounter and discharge encounter on the same date. The E/M…	20	$110	$1.9K
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…	20	$70	$1.3K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	30	$40	$1.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Kentucky Distribution

Opal Prevatt — 0 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	1,304	1,800	80	$90	$14.1K
99214	6,743	7,230	110	$70	$14.1K
99291	375	1,030	50	$160	$12.3K
99232	1,030	2,860	100	$60	$11.6K
99223	1,269	1,940	40	$130	$8.6K
99239	167	1,010	50	$80	$7.1K
99222	218	2,070	30	$90	$4.5K
99231	579	910	40	$40	$3.1K
99235	6	20	20	$110	$2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Arh Mary Breckinridge Health Services, Inc.	KY	Critical Access Hospital	$0	$33.2M
Somc Medical Care Foundation, Inc.	OH	Family Medicine Physician	$0	$25.3M
Arh Mary Breckinridge Health Services, Inc.	KY	Critical Access Hospital	$0	$24.8M
Arh Mary Breckinridge Health Services, Inc.	KY	Critical Access Hospital	$0	$16.2M
Randy Fanous	CA	Diagnostic Radiology Physician	$339.6K	$911.3K
Bahram Forouzandeh	KY	Gastroenterology Physician	$59K	$925.9K
Matthew Hrastich	MO	Diagnostic Radiology Physician	$134.1K	$399.7K
Kalpesh Patel	AZ	Diagnostic Radiology Physician	$409.1K	$0
Crysela Smith	TX	Diagnostic Radiology Physician	$249.7K	$0
Michael Anton	WV	Diagnostic Radiology Physician	$241.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Appalachian Regional Healthcare, Inc.	KY	General Acute Care Hospital	$0	$55.1M
Appalachian Regional Healthcare, Inc	KY	Rural Health Clinic/Center	$0	$8M
H & A Counseling, Psc	KY	Mental Health Counselor	$0	$5.8M
Horizon Adult Health Care LLC	KY	Occupational Therapist	$0	$3.8M
Air Evac Ems Inc.	KY	Air Ambulance	$550.9K	$2.2M
Abdulkader Dahhan	KY	Internal Medicine Physician	$200.5K	$2.4M
Mercy Ambulance Of Evansville Inc	KY	Ambulance	$567.9K	$819.9K
Jayaramakrishna Depa	KY	Nephrology Physician	$149.2K	$0
Gregory Dye	KY	Family Medicine Physician	$72K	$0
Syed Raza	KY	Psychiatry Physician	$49.5K	$0

Opal Prevatt — 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