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

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

Carol Mason (NPI 1699401307)

Field	Value
Entity Type	Individual
Organization	Carol Mason
Address	466 Michigan Ave
City	Mobile
State	AL
ZIP	36604
Taxonomy	Women's Health Nurse Practitioner
NPI Enumerated	July 26, 2022

Payer Source	Total Paid
Medicare	$17.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

20 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…	60	$80	$4.5K
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	$4.2K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	10	$110	$1.2K
82670	The lab analyst measures the level of total estradiol, an estrogenic hormone, on a specimen such as blood using a method such as liquid chromatography–tandem mass spectrometry (LC–MS/MS) to evaluate…	30	$30	$700
84402	The lab analyst performs a test to measure free testosterone, typically in patient serum.	30	$30	$650
84403	The lab analyst performs a test to measure total testosterone, typically in patient serum.	30	$30	$650
84481	The lab analyst performs a test to measure free T3 in patient blood.	30	$20	$580
82627	The lab analyst performs an analysis of dehydroepiandrosterone–sulfate, which is a major precursor of 17–ketosteroids that the body forms when it breaks down certain hormones. Clinicians order this…	30	$20	$570
84270	The lab analyst performs a test to measure sex hormone binding globulin, or SHBG, typically in patient blood.	30	$20	$550
84144	The lab analyst performs a test to evaluate the level of progesterone in a patient specimen, such as serum, saliva, or urine.	30	$20	$540

Showing 1–10 of 20

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Alabama Distribution

Carol Mason — 0 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. state median

20 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
84402	8	10	60	$20	$32.5K
99214	5,221	7,330	120	$80	$16.8K
80053	554	670	140	$10	$13.1K
84443	449	560	90	$20	$12.2K
80061	518	590	120	$10	$12.1K
82670	28	30	50	$30	$11.3K
G0439	1,496	1,520	70	$120	$11K
82627	9	10	70	$20	$9K
99213	3,266	6,470	80	$50	$7.9K
84481	51	80	50	$20	$7.4K

Showing 1–10 of 20

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Usa Health Physician Billing Services LLC	AL	Neonatal-Perinatal Medicine Physician	$0	$28.2M
University Of South Alabama	AL	Children's Hospital	$0	$24.8M
University Of South Alabama	AL	Neonatal-Perinatal Medicine Physician	$0	$11.6M
Usa Health Physician Billing Services LLC	AL	Pediatrics Physician	$0	$11M
University Of South Alabama	AL	Case Management Agency	$0	$8M
Usa Health Physician Billing Services LLC	AL	Obstetrics & Gynecology Physician	$0	$6.3M
University Of South Alabama	AL	Obstetrics & Gynecology Physician	$0	$4M
University Of South Alabama	AL	Pediatrics Physician	$0	$3.4M
Usa Health Physician Billing Services LLC	AL	Orthopaedic Surgery Physician	$0	$2.6M
Usa Health Physician Billing Services LLC	AL	Hospitalist Physician	$0	$2.3M

Carol Mason — Billing Profile & Reimbursement Data

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Carol Mason — 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