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

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

Lisa Rose (NPI 1659734390)

Field	Value
Entity Type	Individual
Organization	Lisa Rose
Address	5647 Us Highway 26
City	Dubois
State	WY
ZIP	82513
Taxonomy	Primary Care Nurse Practitioner
NPI Enumerated	March 31, 2016

Payer Source	Total Paid
Medicare	$2.4K
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
86328	The lab analyst performs a single–step immunoassay to qualitatively or semiquantitatively evaluate the patient’s specimen for antibodies to the severe acute respiratory syndrome coronavirus 2…	40	$40	$1.7K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	30	$10	$290
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	20	$10	$170
81003	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…	80	$1	$160
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	30	$1	$90

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. Wyoming Distribution

Lisa Rose — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wyoming

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
71046	63	110	30	$10	$1K
86328	1	10	20	$40	$910
83036	116	130	40	$10	$820
93005	7	30	20	$1	$100
81003	12	140	30	$1	$100

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Health Center Of Central Wyoming, Inc.	WY	Federally Qualified Health Center (FQHC)	$0	$15.3M
Community Health Center Of Central Wyoming Inc	WY	Federally Qualified Health Center (FQHC)	$0	$4.3M
Community Health Center Of Central Wyoming Inc	WY	Federally Qualified Health Center (FQHC)	$0	$2.8M
Community Health Center Of Central Wyoming Inc	WY	Federally Qualified Health Center (FQHC)	$0	$121.4K
Jordan Belser	WY	Nurse Practitioner	$24.5K	$0
Travis Scoresby	WY	Physician Assistant	$12.7K	$10.5K
Ken Holt	WY	Obstetrics & Gynecology Physician	$1.1K	$22K
Sarah Grooms	WY	Pediatrics Physician	$0	$18K
Lora Koenig	WY	Family Nurse Practitioner	$12.8K	$0
Wesley Morris	WY	Physician Assistant	$11.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Margaret Zeiss	WY	Physical Therapist	$88.6K	$0
Trisha Rose	WY	Family Nurse Practitioner	$48.3K	$0
William Lemke	WY	Physical Therapist	$45K	$0
Kristen Kohlbrand	WY	Family Nurse Practitioner	$1.1K	$0

Lisa Rose — Billing Profile & Reimbursement Data

Sign up for Lisa Rose — Billing Profile & Reimbursement Data policy alerts

Lisa Rose — Billing Profile & Reimbursement Data

Sign up for Lisa Rose — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References