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

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

Gina Cetta (NPI 1689345670)

Field	Value
Entity Type	Individual
Organization	Gina Cetta
Address	1360 N Dodge St
City	Iowa City
State	IA
ZIP	52245
Taxonomy	Women's Health Nurse Practitioner
NPI Enumerated	September 21, 2021

Payer Source	Total Paid
Medicare	$6.9K
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
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…	70	$60	$4.1K
G0101	Cervical or vaginal cancer screening; pelvic and clinical breast examination	50	$30	$1.4K
G0328	Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	50	$20	$920
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	10	$30	$380
81002	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…	60	$1	$180

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. Iowa Distribution

Gina Cetta — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Iowa

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	2,771	4,740	100	$50	$8K
99212	1,166	1,240	40	$30	$2.1K
G0101	12	120	20	$30	$870
G0328	4	20	30	$20	$760
81002	20	160	30	$1	$160

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Hospital, Iowa City, Iowa	IA	General Acute Care Hospital	$0	$6.4M
Johnson County Mental Health And Developmental Disabilities Services	IA	Case Management Agency	$0	$3.1M
Chris Watts	IA	Ophthalmology Physician	$2.7M	$0
Mercy Services Iowa City, Inc.	IA	Multi-Specialty Clinic/Center	$0	$2.4M
Iowa City Ambulatory Surgical Center, LLC	IA	Ambulatory Surgical Clinic/Center	$1.7M	$437.9K
Pediatric Associates Of Iowa City And Coralville, LLP	IA	Pediatrics Physician	$0	$1.8M
Johnson County Emergency Medicine, Plc	IA	Emergency Medicine Physician	$0	$1.4M
University Of Iowa Community Medical Services LLC	IA	Durable Medical Equipment & Medical Supplies	$0	$1.4M
Nathan Hall	IA	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$1.1M
Ent Medical Services PC	IA	Specialist	$0	$1.1M

Gina Cetta — Billing Profile & Reimbursement Data

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Gina Cetta — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References