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

Why is the Medicaid comparison limited to Illinois 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. Illinois (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 Karl (NPI 1649616756)

Field	Value
Entity Type	Individual
Organization	Jessica Karl
Address	259 E Erie St Ste 1900
City	Chicago
State	IL
ZIP	60611
Taxonomy	Physician Assistant
NPI Enumerated	May 15, 2013

Payer Source	Total Paid
Medicare	$26.4K
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
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…	170	$70	$12.1K
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…	60	$90	$6K
95983	The provider, a physician or other qualified healthcare professional, analyzes the function of a brain neurostimulator system and makes programming adjustments requiring up to 15 minutes of…	100	$30	$3.2K
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…	40	$50	$2.3K
95984	The provider, a physician or other qualified healthcare professional, continues to analyze the function of a brain neurostimulator system and make programming adjustments face–to–face with the…	60	$30	$1.7K
95970	A physician or other qualified healthcare professional performs electronic analysis of a variety of parameters of a previously implanted neurostimulator pulse generator/transmitter to ensure that it…	100	$10	$1.3K

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. Illinois Distribution

Jessica Karl — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	7,006	18,540	110	$80	$17.1K
99215	2,212	6,240	40	$120	$10.1K
99213	11,391	17,390	70	$60	$8.8K
95984	6	10	60	$30	$3.2K
95983	3	20	50	$40	$2.2K
95970	1	10	30	$10	$440

Jessica Karl — Billing Profile & Reimbursement Data

Sign up for Jessica Karl — Billing Profile & Reimbursement Data policy alerts

Jessica Karl — Billing Profile & Reimbursement Data

Sign up for Jessica Karl — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References