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

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

Teresa Vial (NPI 1689921512)

Field	Value
Entity Type	Individual
Organization	Teresa Vial
Address	830 W Central Ave
City	Missoula
State	MT
ZIP	59801
Taxonomy	Family Nurse Practitioner
NPI Enumerated	August 9, 2012

Payer Source	Total Paid
Medicare	$13.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 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…	110	$80	$8.3K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	80	$60	$4.6K
Q3014	Telehealth originating site facility fee	50	$20	$990

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Montana Distribution

Teresa Vial — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	890	1,810	100	$70	$12.4K
80307	8	10	130	$60	$8.6K
Q3014	7	20	50	$20	$1.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ideal Option, PLLC	WA	Clinic/Center	$0	$259.1M
Ideal Option, PLLC	WA	Clinical Medical Laboratory	$0	$39.2M
Ideal Option, PLLC	MD	Addiction Medicine (Family Medicine) Physician	$0	$7.4M
Ideal Option, PLLC	MT	Addiction Medicine (Family Medicine) Physician	$0	$3.6M
Ideal Option, PLLC	MT	Addiction Medicine (Family Medicine) Physician	$0	$3.3M
Crm Physicians, LLC	OR	Internal Medicine Physician	$0	$2.1M
Mileydis Curbelo	FL	Family Nurse Practitioner	$1.2M	$0
Ideal Option, PLLC	MT	Multi-Specialty Clinic/Center	$0	$1.2M
Leticia Carrion	FL	Family Nurse Practitioner	$919.8K	$0
Ideal Option, PLLC	MT	Clinic/Center	$0	$731.9K

Teresa Vial — Billing Profile & Reimbursement Data

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Teresa Vial — 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

Frequently Asked Questions

References