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

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

Kristine Edwards (NPI 1669008926)

Field	Value
Entity Type	Individual
Organization	Kristine Edwards
Address	723 Woodlawn Ave
City	Jackson
State	MI
ZIP	49203
Taxonomy	Family Nurse Practitioner
NPI Enumerated	March 19, 2020

Payer Source	Total Paid
Medicare	$38K
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
69210	The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.	900	$30	$26.2K
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	470	$20	$11.4K

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. Michigan Distribution

Kristine Edwards — 1 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99307	22	310	60	$30	$4K
69210	2	360	40	$30	$2.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Timothy Anderson	MI	Optometrist	$634.2K	$0
John Muir	MI	Optometrist	$260.4K	$0
Jennifer Elam	MI	Optometrist	$240K	$0
Brandon Weber	MI	Physician Assistant	$205K	$0
Vangjo Cobani	MI	Foot & Ankle Surgery Podiatrist	$180.6K	$0
Scott Wilber	MI	Podiatrist	$104.8K	$0
Scott Vandevorde	MI	Podiatrist	$66.7K	$330
Jeffrey Leider	MI	Otolaryngology Physician	$49.3K	$0
Ronald Hageman	MI	Audiologist-Hearing Aid Fitter	$23.9K	$1.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Segue Inc	MI	Adult Mental Health Clinic/Center	$0	$21M
Tenacious Living, LLC	MI	In Home Supportive Care Agency	$0	$11M
Jackson Pediatric Dentistry PC	MI	Pediatric Dentistry	$0	$8.1M
Lynn Vanwagnen	MI	Internal Medicine Physician	$121.4K	$0
Garcia Clinical Laboratory Inc	MI	Clinical Medical Laboratory	$99.7K	$10.4K
Adrienne Tawney	MI	Physical Therapist	$104.2K	$0
Browns Professional Serv Inc	MI	Community/Retail Pharmacy	$101.3K	$0
Cory Rogotzke	MI	Physical Therapist	$87K	$0
Lynn Schachinger	MI	Gastroenterology Physician	$70.4K	$0
Aaron Vanwagnen	MI	Internal Medicine Physician	$69.7K	$0

Kristine Edwards — Billing Profile & Reimbursement Data

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Kristine Edwards — 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