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

Why is the Medicaid comparison limited to South Dakota 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. South Dakota (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.

Janice Gerlach (NPI 1649833401)

Field	Value
Entity Type	Individual
Organization	Janice Gerlach
Address	601 E 7th St
City	Platte
State	SD
ZIP	57369
Taxonomy	Psychiatry Physician
NPI Enumerated	April 17, 2019

Payer Source	Total Paid
Medicare	$3.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

2 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…	20	$90	$2.1K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	10	$150	$1.6K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Dakota Distribution

Janice Gerlach — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Dakota

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,382	1,660	90	$70	$11.4K
90792	10	10	20	$120	$3.9K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. Benedict Health Center	SD	Rural Health Clinic/Center	$0	$885.8K
St Benedict Health Center	SD	Rural Health Clinic/Center	$0	$616.6K
Platte Community Memorial Hospital Inc.	SD	Rural Health Clinic/Center	$0	$278.7K
David Arend	SD	Urology Physician	$181.9K	$0
Jessica Claussen	SD	Ophthalmology Physician	$114.9K	$0
Bruce Watt	SD	Cardiovascular Disease Physician	$93.7K	$0
Cooper Wriston	VT	Dermatology Physician	$78.8K	$0
Chris Krouse	SD	Orthopaedic Surgery Physician	$53.1K	$0
St Benedict Health Center	SD	Critical Access Hospital	$0	$41.6K
Arthur Moeller	MI	Facial Plastic Surgery Physician	$31.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Platte Ambulance Service	SD	Land Ambulance	$65.4K	$0

Janice Gerlach — Billing Profile & Reimbursement Data

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Janice Gerlach — 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

Nearby Providers

Frequently Asked Questions

References