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 Northern Mariana Islands for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Northern Mariana Islands 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. Northern Mariana Islands (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.

Lucy Pangelinan (NPI 1689048704)

Field	Value
Entity Type	Individual
Organization	Lucy Pangelinan
Address	Garapan Beach Rd
City	Saipan
State	MP
ZIP	96950
Taxonomy	Family Nurse Practitioner
NPI Enumerated	December 1, 2015

Payer Source	Total Paid
Medicare	$1.5K
Medicaid	$0

Key Findings

Provider profile and tenure: LUCY PANGELINAN is a Family Nurse Practitioner based in SAIPAN, MP, with an NPI enumerated on 2015-12-01 (~11 years ago). This establishes over a decade of enrollment in the NPI registry, which is consistent with an established individual practitioner rather than a newly registered clinician.

Medicare vs. Medicaid payer mix: Lifetime Medicare revenue is $1.5K while Medicaid is none (no Medicaid billing on file), indicating an effectively single-payer footprint in the available public programs. The absence of Medicaid billing on file means Medicaid does not contribute to this provider’s observable public-payer revenue mix.

Revenue concentration: the precomputed top-3 Medicare codes account for 100.0% of this provider’s total Medicare revenue. That extreme concentration implies nearly all Medicare receipts derive from a very narrow set of services rather than a diversified code mix.

Service-line implications from top code: the only listed Medicare code is 99213, an established-patient office/outpatient E/M visit involving low-level medical decision making and/or about 20 minutes of total time. Combined with a $30 avg paid/claim, this pattern points to routine, low-acuity ambulatory visits consistent with primary-care or general family-practice activity typical for a Family Nurse Practitioner.

Claim and revenue scale: Medicare billing records show 51 claims for 99213, $30 avg paid/claim, producing $1.5K revenue (100.0% of this provider's total Medicare revenue). In absolute terms this is a small Medicare footprint, suggesting limited volume and low total Medicare revenue against national benchmarks.

Competitive standing: for 99213 this provider ranks #281476 of 457151 providers nationally (38th percentile; typical, unremarkable volume for this code). That percentile signals a modest, non-dominant presence in the national Medicare market for this service line rather than a leading or outlier performer.

Operational interpretation and risk considerations: the combination of low total Medicare revenue ($1.5K), a single dominant code, and no Medicaid billing suggests a small-scale or narrowly focused practice model in Medicare claims data. Analysts should treat this profile as representing a limited Medicare billing footprint that could be sensitive to changes in patient mix or payer contracts.

Analyst next steps: given the narrow public-payer footprint, analysts seeking a fuller picture should look for non-Medicare revenue sources (commercial/VA/Tricare), state licensing records, or practice affiliations to determine whether the low Medicare activity reflects a small private practice, part-time clinical work, or billing routed through another group entity. Public Medicare claims alone do not show evidence of broader Medicaid or diversified Medicare service lines.

Medicare: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	50	$30	$1.5K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Northern Mariana Islands Distribution

Lucy Pangelinan — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Northern Mariana Islands

Full comparison — all codes billed, vs. state median

1 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	3	10	40	$40	$3.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jeanolivia Grant	MP	Family Medicine Physician	$228.7K	$0
Northern Mariana Islands Government	MP	Land Ambulance	$180.9K	$0
Keri Allen	MP	Ophthalmology Physician	$96.8K	$0
Vicente Aldan	MP	Family Medicine Physician	$87.4K	$0
Ahmad Al-alou	MP	Internal Medicine Physician	$36.1K	$0
Norma Ada	MP	Internal Medicine Physician	$32.8K	$0
Mark Robertson	MP	Optometrist	$25.8K	$0
David Hardt	MP	Optometrist	$24.1K	$0
Donald Hardt	MP	Optometrist	$23.9K	$0
Pamela Carhill	MP	Physical Therapist	$22K	$0

Lucy Pangelinan — Billing Profile & Reimbursement Data

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Lucy Pangelinan — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References