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.

Julia Arnold (NPI 1629149133)

Field	Value
Entity Type	Individual
Organization	Julia Arnold
Address	125 U.s. Route 1
City	Whiting
State	ME
ZIP	04691
Taxonomy	Family Medicine Physician
NPI Enumerated	November 13, 2006

Payer Source	Total Paid
Medicare	$62.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99215	The provider sees an established 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…	300	$110	$33.6K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	70	$120	$8K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	60	$80	$4.6K
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…	60	$70	$4.5K
G2212	Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary…	180	$20	$4.2K
90662	This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…	20	$70	$1.7K
G0008	Administration of influenza virus vaccine	50	$30	$1.4K
99443	N/A	10	$90	$1.2K
G0328	Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	60	$20	$1.1K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	140	$10	$1.1K

Showing 1–10 of 13

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maine Distribution

Julia Arnold — 3 of 13 codes 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

13 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,351	2,500	70	$70	$7.2K
99215	9	780	30	$100	$4.8K
90662	139	230	30	$70	$4.6K
G0439	222	650	50	$70	$4.3K
99213	2,189	2,350	50	$50	$4.3K
G0008	170	340	50	$30	$2.5K
99497	11	50	30	$60	$2.5K
36415	89	250	90	$10	$2.2K
99443	69	80	20	$60	$1.4K
G2212	2	30	40	$20	$1.4K

Showing 1–10 of 13

Julia Arnold — Billing Profile & Reimbursement Data

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Julia Arnold — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References