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

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

Molly Spaulding (NPI 1629360839)

Field	Value
Entity Type	Individual
Organization	Molly Spaulding
Address	855 N Westhaven Dr
City	Oshkosh
State	WI
ZIP	54904
Taxonomy	Registered Dietitian
NPI Enumerated	May 5, 2011

Payer Source	Total Paid
Medicare	$3.3K
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
97802	The provider treats medical conditions and related symptoms using specific diet therapy by interacting individually with the patient. This code represents each 15 minutes of the first visit with the…	110	$30	$3.2K

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. Wisconsin Distribution

Molly Spaulding — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. state median

1 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97802	5	30	60	$30	$2.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aurora Medical Center Of Oshkosh, Inc	WI	General Acute Care Hospital	$0	$16.4M
Ams Of Wisconsin LLC	WI	Methadone Clinic	$113.1K	$5.3M
Ascension Ne Wisconsin, Inc	WI	General Acute Care Hospital	$0	$4.3M
Angela Wade	WI	Behavior Analyst	$0	$2.7M
Ambulatory Surgical Center, LLC	WI	Ambulatory Surgical Clinic/Center	$305.6K	$0
Anita Gheller-rigoni	WI	Allergy & Immunology (Internal Medicine) Physician	$247.5K	$0
Alexey Shereshevsky	WI	Family Medicine Physician	$238.7K	$0
Ashleigh Ledet	WI	Physician Assistant	$215.6K	$0
Ioannis Karkatzounis	WI	Hospitalist Physician	$84.4K	$97.7K
Ammar Alzoubi	WI	Internal Medicine Physician	$126.8K	$0

Molly Spaulding — Billing Profile & Reimbursement Data

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Molly Spaulding — 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