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 District of Columbia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to District of Columbia 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. District of Columbia (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.

Jessica Hafford (NPI 1629506738)

Field	Value
Entity Type	Individual
Organization	Jessica Hafford
Address	100 Irving St Nw # 4131
City	Washington
State	DC
ZIP	20010
Taxonomy	Acute Care Nurse Practitioner
NPI Enumerated	June 2, 2017

Payer Source	Total Paid
Medicare	$6.4K
Medicaid	$0

Key Findings

This provider is effectively single-payer in the available data: total Medicare revenue is $6.4K and there is no Medicaid billing on file. The absence of any Medicaid codes suggests either non‑participation in state Medicaid programs or no billed Medicaid encounters during the reporting period, which materially shapes the payer mix analysis and network leverage for this profile.

Revenue is highly concentrated in a small set of outpatient E/M services: the precomputed top three Medicare codes (99214, 99215, 99213) together account for 91.1% of the provider's Medicare revenue. Those three codes individually represent 44.0% (99214), 28.1% (99215), and 19.0% (99213) of Medicare revenue, indicating the practice’s income is driven almost entirely by established-patient office visits.

The code mix (99214, 99215, 99213) points to an ambulatory, evaluation-and-management focus consistent with primary care or longitudinal outpatient practice; these codes denote established-patient visits with low-to-high levels of decision making and time. The presence of 95251 (CGM analysis and interpretation) indicates some involvement in diabetes management or remote glucose monitoring services, while 99211 activity reflects lower-intensity visits or brief patient encounters.

Volume and payment details for the top codes show modest throughput and low absolute Medicare scale: 99214 has 45 claims at $62 avg paid/claim yielding $2.8K revenue, 99215 has 22 claims at $81 avg paid/claim yielding $1.8K revenue, and 99213 has 28 claims at $43 avg paid/claim yielding $1.2K revenue. Taken together with the $6.4K total Medicare revenue, these figures are consistent with a small Medicare panel or limited billing activity rather than a high-volume outpatient operation.

National competitive standing for the principal codes is modest: 99214 ranks #351048 of 479517 providers nationally (26th percentile; typical, unremarkable volume for this code), 99215 ranks #102684 of 145531 (28th percentile; typical, unremarkable volume for this code), and 99213 ranks #360216 of 457151 (20th percentile; typical, unremarkable volume for this code). These percentiles indicate the provider is a modest participant nationally on those services rather than a regional or national leader.

Certain codes show especially low national activity: 95251 ranks #5443 of 5996 providers nationally (8th percentile; typical, unremarkable volume for this code), which places the provider near the lower end of national billers for CGM interpretation. Similarly, 99211 ranks #10132 of 15987 (35th percentile; typical, unremarkable volume for this code), reinforcing a pattern of below-median activity across several ancillary and low-level visit codes.

The provider’s NPI was enumerated on 2017-06-02 (~9 years ago), indicating several years of billing history under this NPI. That tenure suggests the observed low Medicare billing is not due to a brand-new enrollment window but reflects ongoing, modest-scale practice activity over multiple years.

From a business and contracting perspective, the combination of concentrated E/M revenue, very low absolute Medicare dollars ($6.4K), and no Medicaid billing implies limited scale for payer negotiations or carve-outs; the profile is consistent with a small outpatient panel or part-time clinical practice. For analysts, these signals point to prioritizing evaluation of visit frequency and patient mix rather than specialty procedural lines when assessing competitive positioning or network value.

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	50	$60	$2.8K
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…	20	$80	$1.8K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	30	$40	$1.2K
95251	A provider analyzes and interprets data from a patient’s continuous glucose monitor (CGM) and writes a report based on interpretation. This code represents the professional component of the service…	20	$20	$420
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	20	$10	$140

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. District of Columbia Distribution

Jessica Hafford — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — District of Columbia

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	10	1,400	90	$100	$15.3K
99215	2	660	50	$130	$12.3K
99213	9	1,200	50	$70	$8.5K
95251	1	10	40	$30	$1.6K
99211	1	30	40	$20	$1.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
William Schmidt	OR	Hematology & Oncology Physician	$1.4M	$0
Lawrence Mcgee	SC	Nephrology Physician	$295.2K	$0
Lyndon Morgan	ME	Ophthalmology Physician	$169.1K	$0
Serena Morrison	ME	Ophthalmology Physician	$88.7K	$0
Nancy-nichole Barry	ME	Rheumatology Physician	$86.4K	$0
Susan Miller	ME	Family Medicine Physician	$65K	$0
Andrew Filderman	ME	Pulmonary Disease Physician	$59.3K	$0
Lane Beatty	ME	Hospitalist Physician	$58.7K	$0
Christopher Mone	ME	Hospitalist Physician	$54.4K	$0
Roger Inhorn	ME	Medical Oncology Physician	$51.7K	$0

Jessica Hafford — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References