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

Why is the Medicaid comparison limited to New Jersey 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. New Jersey (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.

Donna Koby (NPI 1639722242)

Field	Value
Entity Type	Individual
Organization	Donna Koby
Address	1857 Cable Dr
City	Toms River
State	NJ
ZIP	08753
Taxonomy	Psychiatric/Mental Health Nurse Practitioner
NPI Enumerated	July 23, 2019

Payer Source	Total Paid
Medicare	$26.1K
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
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…	90	$100	$9.3K
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…	80	$70	$5.7K
90836	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient in addition to an evaluation and management service in the…	100	$60	$5.4K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	80	$40	$3.4K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	120	$10	$1K
G2214	Initial or subsequent psychiatric collaborative care management, first 30 minutes in a month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed…	20	$40	$800
99484	Clinical staff members spend at least 20 minutes each month coordinating and managing a patient’s behavioral health services under the direction of a physician or other qualified health care…	10	$30	$370

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. New Jersey Distribution

Donna Koby — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	8,617	13,640	130	$90	$23.6K
90836	59	110	110	$70	$12.8K
99215	916	3,750	40	$140	$12K
90833	209	330	130	$50	$11.1K
99484	32	30	70	$30	$9.3K
90785	26	50	140	$10	$1.7K
G2214	1	10	20	$40	$800

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bayada Home Health Care, Inc.	NJ	Home Health Agency	$0	$269.7M
Easter Seals New Jersey	NJ	Community/Behavioral Health Agency	$0	$46M
Easter Seals New Jersey	NJ	Mental Illness Community Based Residential Treatment Facility	$0	$38.8M
Loving Care Agency, Inc	NJ	Home Health Agency	$0	$19.2M
Pediatric Affiliates PA	NJ	Pediatrics Physician	$0	$17M
Toms River Regional Schools	NJ	Local Education Agency (LEA)	$0	$14.9M
Bayada Home Health Care, Inc.	NJ	Home Health Agency	$0	$13M
Preferred Home Health Care & Nursing Services, Inc	NJ	Home Health Agency	$0	$11.1M
Vna Health Group Of New Jersey, LLC	NJ	Home Health Agency	$0	$9.8M
Cmg Brentwood, LLC	NJ	Assisted Living Facility	$0	$9.3M

Donna Koby — Billing Profile & Reimbursement Data

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Donna Koby — 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