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

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

Kathryn Banning (NPI 1639531676)

Field	Value
Entity Type	Individual
Organization	Kathryn Banning
Address	234 Goodman St
City	Cincinnati
State	OH
ZIP	45219
Taxonomy	Emergency Medicine Physician
NPI Enumerated	March 28, 2016

Payer Source	Total Paid
Medicare	$35.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	90	$140	$12.6K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	80	$140	$11K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	40	$170	$6.9K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	40	$90	$3.4K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	150	$10	$920
93042	The provider interprets a recording of the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to…	120	$10	$580

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Ohio Distribution

Kathryn Banning — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	1,707	2,750	110	$140	$18.7K
99291	1,549	3,080	40	$170	$10.4K
99223	987	5,590	40	$130	$7.6K
99284	1,991	2,860	60	$90	$6.1K
93010	917	2,410	110	$10	$1.5K
93042	9	50	40	$10	$360

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tacoma Emergency Care Physicians, PLLC	WA	Emergency Medicine Physician	$0	$12.1M
Stephen Barnhart	MN	Emergency Medicine Physician	$59.4K	$0
Kara Purdy	WA	Emergency Medicine Physician	$43.4K	$0
Ian Becker	MO	Emergency Medicine Physician	$37.7K	$0
Kevin Kunde	WA	Physician Assistant	$35K	$0
Kaitlyn Kennedy	WA	Emergency Medicine Physician	$21.8K	$0
Stephen Baker	WA	Physician Assistant	$17.5K	$0
Nicholas Esser	NV	Physician Assistant	$9.8K	$0
Curtis Marino	NV	Emergency Medicine Physician	$7.4K	$0

Kathryn Banning — Billing Profile & Reimbursement Data

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Kathryn Banning — 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

Frequently Asked Questions

References