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

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

Gretchen Gayle (NPI 1649757279)

Field	Value
Entity Type	Individual
Organization	Gretchen Gayle
Address	2321 E Gala St Ste 3
City	Meridian
State	ID
ZIP	83642
Taxonomy	Psychiatric/Mental Health Nurse Practitioner
NPI Enumerated	July 26, 2018

Payer Source	Total Paid
Medicare	$31.3K
Medicaid	$0

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
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	390	$30	$11.8K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	190	$50	$9.3K
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…	100	$40	$4.2K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	50	$70	$3.7K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	30	$70	$2.3K

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. Idaho Distribution

Gretchen Gayle — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99232	122	680	60	$60	$7.3K
99213	1,042	2,770	70	$50	$5.7K
99239	171	310	40	$80	$5.1K
99222	61	420	20	$90	$2.9K
99231	4	220	30	$30	$2.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dwyer & Harrington, PLLC	ID	Nurse Practitioner	$0	$3M
Midvalley Healthcare PLLC	ID	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.1M
Duke Nyarecha	ID	Psychiatric/Mental Health Nurse Practitioner	$38.5K	$0
Jeremy Hurst	ID	Psychiatric/Mental Health Nurse Practitioner	$29.1K	$0
Shelley Wray	ID	Psychiatric/Mental Health Nurse Practitioner	$16.7K	$0
Megan Conover	ID	Physician Assistant	$12K	$0
Jennifer Quick	ID	Psychiatric/Mental Health Nurse Practitioner	$3.4K	$0

Gretchen Gayle — Billing Profile & Reimbursement Data

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Gretchen Gayle — 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