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

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

Ann O'brien (NPI 1609908052)

Field	Value
Entity Type	Individual
Organization	Ann O'brien
Address	30 Boynton St
City	Eastport
State	ME
ZIP	04631
Taxonomy	Psychiatric/Mental Health Nurse Practitioner
NPI Enumerated	March 12, 2007

Payer Source	Total Paid
Medicare	$570
Medicaid	$0

Medicare: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	50	$10	$550

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maine Distribution

Ann O'brien — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. state median

1 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
80305	4	20	30	$10	$620

Related Providers

Other providers that share a Tax Identification Number (TIN) with Ann O'brien, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eastport Health Care, Inc.	ME	Federally Qualified Health Center (FQHC)	$0	$5.1M
Eastport Health Care, Inc.	ME	Federally Qualified Health Center (FQHC)	$0	$3.9M
Judy Splittgerber	ME	Psychiatric/Mental Health Nurse Practitioner	$0	$420.4K
Sanjay Jain	CA	Diagnostic Radiology Physician	$354.1K	$0
Talal Khan	MA	Internal Medicine Physician	$190.7K	$0
Kenneth Tan	CA	Diagnostic Radiology Physician	$146.5K	$5.5K
Andrew Thornton	ME	Nephrology Physician	$114.1K	$0
Gary Degen	ME	Foot & Ankle Surgery Podiatrist	$27.9K	$0
Jordan Porter	ME	Family Nurse Practitioner	$760	$0

Nearby Providers

Other providers in the same ZIP code as Ann O'brien, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sunrise Opportunities	ME	Mental Illness Community Based Residential Treatment Facility	$0	$9.9M
Bio-medical Applications Of Maine, Inc.	ME	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$809.4K

Ann O'brien — Billing Profile & Reimbursement Data

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Ann O'brien — 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