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

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

Mary Colburn (NPI 1679066948)

Field	Value
Entity Type	Individual
Organization	Mary Colburn
Address	850 N Main Street Ext
City	Wallingford
State	CT
ZIP	06492
Taxonomy	Family Nurse Practitioner
NPI Enumerated	June 12, 2018

Payer Source	Total Paid
Medicare	$35.8K
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…	300	$80	$24.7K
99204	The provider sees a new 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 provider…	60	$110	$6.3K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	210	$10	$2.5K
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	230	$1	$900
96138	A technician administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of administration and scoring by any method.	30	$20	$720
G0444	Annual depression screening, 5 to 15 minutes	20	$20	$410

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. Connecticut Distribution

Mary Colburn — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	955	6,480	90	$90	$14.2K
99204	472	2,660	30	$120	$4.6K
G0444	238	310	50	$20	$1.2K
80305	4	30	60	$10	$1.1K
96138	8	20	30	$30	$910
96127	7	160	30	$1	$190

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wheeler Clinic Inc	CT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$102.6M
Arpad Fejos	CT	Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician	$86K	$0
Robin Murdock	CT	Family Nurse Practitioner	$33.5K	$0
Kevin Dinsmore	CT	Family Nurse Practitioner	$21.5K	$0
Pamela Carrington-tribble	CT	Family Medicine Physician	$16.8K	$0
William Brennan	CT	Clinical Social Worker	$4.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gaylord Hospital, Inc.	CT	Long Term Care Hospital	$0	$14.6M
Masonicare Home Health And Hospice, Inc.	CT	Home Health Agency	$0	$13M
Robinson PA, LLC	CT	Interventional Pain Medicine Physician	$0	$6.9M
Town Of Wallingford	CT	Local Education Agency (LEA)	$0	$3.9M
Park Avenue Medical	CT	Internal Medicine Physician	$0	$3.4M
Wallingford Endoscopy Center, LLC.	CT	Endoscopy Clinic/Center	$322.7K	$1.8M
Town Of Wallingford	CT	Ambulance	$493.3K	$1.6M
Promptcare New England Respiratory, LLC	CT	Oxygen Equipment & Supplies (DME)	$0	$1.8M
The Promptcare Companies, Inc.	CT	Durable Medical Equipment & Medical Supplies	$0	$1.8M
Meriden Imaging Center, Inc.	CT	Diagnostic Radiology Physician	$0	$1.7M

Mary Colburn — Billing Profile & Reimbursement Data

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Mary Colburn — 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