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

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

Tiffany Rice (NPI 1629342399)

Field	Value
Entity Type	Individual
Organization	Tiffany Rice
Address	1500 N Ritter Ave
City	Indianapolis
State	IN
ZIP	46219
Taxonomy	Family Nurse Practitioner
NPI Enumerated	February 28, 2012

Payer Source	Total Paid
Medicare	$20.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	100	$50	$4.9K
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…	60	$80	$4.3K
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…	40	$110	$4.2K
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…	30	$80	$2.7K
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…	40	$50	$2K
99498	The provider or other healthcare professional performs advanced care planning beyond an initial 30 minutes. The provider discusses and shares planning for the future health care needs of the patient…	40	$50	$1.9K
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	$30	$840

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Indiana Distribution

Tiffany Rice — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	1,662	2,720	80	$90	$13.4K
99232	2,934	3,970	90	$60	$11.8K
99223	1,666	3,080	40	$120	$8.2K
99497	94	470	40	$60	$4.5K
99222	1,140	2,800	30	$90	$4.1K
99231	831	1,340	40	$40	$2.3K
99498	10	30	30	$50	$1.6K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Health Network, Inc	IN	General Acute Care Hospital	$0	$161.7M
Mid America Clinical Laboratories, LLC	IN	Clinical Medical Laboratory	$0	$20.2M
Indy East Smiles Youth Dentistry LLC	IN	General Practice Dentistry	$0	$10.9M
Acorn Addiction Centers LLC Dba Journey Road Treatment Centers	IN	Addiction Medicine (Family Medicine) Physician	$0	$10.7M
Ameripath Indianapolis PC	IN	Anatomic Pathology & Clinical Pathology Physician	$0	$9.1M
Monumental Behavioral Health Inc	IN	Psychologist	$0	$4.7M
Ameripath Indianapolis PC	IN	Clinical Medical Laboratory	$1.8M	$1.7M
Touch Of Love Home Health Care Inc	IN	Home Health Agency	$0	$3.3M
M.s.d. Of Warren Township	IN	Local Education Agency (LEA)	$0	$3M
Jeromy Shoup	IN	Family Nurse Practitioner	$233.1K	$0

Tiffany Rice — Billing Profile & Reimbursement Data

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Tiffany Rice — 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