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

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

Nancy Birtley (NPI 1689673956)

Field	Value
Entity Type	Individual
Organization	Nancy Birtley
Address	6209 Mid Rivers Mall Dr
City	Saint Peters
State	MO
ZIP	63304
Taxonomy	Psychiatric/Mental Health Nurse Practitioner
NPI Enumerated	July 19, 2005

Payer Source	Total Paid
Medicare	$26.8K
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
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	160	$120	$18K
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…	150	$20	$3.2K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	70	$40	$3.1K
99347	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves straightforward medical decision making or the provider spends at…	50	$20	$1.2K
99348	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…	20	$50	$750
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	10	$50	$580

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. Missouri Distribution

Nancy Birtley — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	519	520	210	$70	$28.3K
99308	344	490	170	$50	$19.3K
90792	7	150	20	$130	$5.4K
99348	160	170	50	$50	$4.5K
99307	37	140	70	$30	$3.9K
99347	39	90	40	$30	$2.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Absolute Quality Health Care Inc	MO	In Home Supportive Care Agency	$0	$5.6M
Little Hills Healthcare, LLC	MO	Psychiatric Hospital	$0	$4.2M
Harmony At Home Cds LLC	MO	Home Health Agency	$0	$3.4M
Christiane Zoghbi	MO	Hematology & Oncology Physician	$116.4K	$0
Thomas Lord	MO	Family Medicine Physician	$86.1K	$0
Ashley Loges	MO	Orthopedic Physical Therapist	$72.2K	$0
Thomas Tyree	MO	Internal Medicine Physician	$56.3K	$0
Gregory Macdonnell	MO	Anesthesiology Physician	$12.9K	$0
Robert Brown	MO	Obstetrics & Gynecology Physician	$1K	$520

Nancy Birtley — Billing Profile & Reimbursement Data

Sign up for Nancy Birtley — Billing Profile & Reimbursement Data policy alerts

Nancy Birtley — Billing Profile & Reimbursement Data

Sign up for Nancy Birtley — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References