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.

Norma Ada (NPI 1699709295)

Field	Value
Entity Type	Individual
Organization	Norma Ada
Address	Mh-ii Bldg., Marina Heights Business Park
City	Saipan
State	MP
ZIP	96950
Taxonomy	Internal Medicine Physician
NPI Enumerated	July 10, 2006

Payer Source	Total Paid
Medicare	$32.8K
Medicaid	$0

Key Findings

This provider’s Medicare billing is concentrated in outpatient evaluation-and-management and preventive care: the top three Medicare codes are 99214 (162 claims, $79 avg paid/claim, $12.8K revenue), 99213 (117 claims, $52 avg paid/claim, $6.1K revenue), and G0439 (40 claims, $132 avg paid/claim, $5.3K revenue). Those three codes together account for 73.9% of the provider’s total Medicare revenue, indicating the practice is primarily delivering established patient visits and Annual Wellness Visits rather than a wide array of high-revenue procedures.

Revenue scale is small and heavily Medicare-weighted: the provider reports total Medicare revenue of $32.8K and has no Medicaid billing on file. Because there is no Medicaid activity, the provider is effectively single-payer from a claims perspective and revenue planning or payer-contracting efforts would be focused on Medicare performance and reimbursement changes.

Competitive standing on core E/M codes is modest and broadly “typical”: 99214 ranks at the 62th percentile nationally (rank #180509 of 479517 providers) and 99213 is at the 64th percentile (rank #164938 of 457151 providers), both labeled as typical, unremarkable volumes. The Annual Wellness Visit code G0439 is lower at the 36th percentile (rank #66999 of 105855 providers), suggesting AWV volume is below the national median even though it is one of the practice’s top revenue drivers.

Service-mix implications: the dominant codes (99214, 99213, G0439) reflect an Internal Medicine practice model focused on longitudinal outpatient management and prevention rather than procedural or inpatient services. The billing pattern suggests routine chronic disease management visits and preventive care are the core revenue stream, consistent with the provider’s taxonomy as an Internal Medicine Physician.

Ancillary services and preventive-procedure mix: the provider also bills for vaccines and basic in-office services—G0008 (69 claims, $21 avg paid/claim, $1.4K revenue, 4.4% of Medicare revenue) and several influenza vaccine products (90662: 15 claims, $62 avg paid/claim, $930 revenue; 90686: 54 claims, $2 avg paid/claim, $108 revenue). The presence of audiology codes 92557 and 92567 (44 claims each) indicates routine hearing assessments are offered in-office, adding modest, non-core revenue streams.

Intensity and complexity skew toward mid-level visits: high-complexity established visits (99215) are present but limited (21 claims, $102 avg paid/claim, $2.1K revenue, 6.6% of Medicare revenue) and sit at the 26th percentile nationally, which suggests fewer high-severity encounters relative to peers. Overall the mix favors moderate-complexity management (99214) over more frequent high-complexity care.

Tenure and continuity: the provider’s NPI was enumerated on 2006-07-10 (~20 years ago), indicating long-standing enrollment in the Medicare program. That tenure supports interpretation of the current low-to-moderate volume as an established, steady outpatient practice rather than a recent entrant.

Code-level deviations worth noting: a handful of codes show percentile signals that diverge from dollar impact—90686 is at the 88th percentile nationally despite contributing only $108 in revenue, indicating relatively high utilization of that specific vaccine product relative to peers but minimal overall financial effect. Conversely, 90662 appears at the 10th percentile, indicating lower use of that vaccine product compared with national peers despite a larger per-claim payment ($62 avg paid/claim).

Medicare: Complete Services Breakdown

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

13 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…	160	$80	$12.8K
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…	120	$50	$6.1K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	40	$130	$5.3K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	20	$100	$2.1K
G0008	Administration of influenza virus vaccine	70	$20	$1.4K
0124A	N/A	30	$40	$1K
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,…	20	$40	$940
90662	This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…	20	$60	$930
92557	The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…	40	$20	$750
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	10	$50	$540

Showing 1–10 of 13

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Northern Mariana Islands Distribution

Norma Ada — 0 of 13 codes 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

13 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	2	10	100	$60	$12.8K
G0439	1	10	40	$130	$5.3K
99213	2	10	40	$40	$3.1K
99215	1	10	20	$100	$2.2K
99212	3	10	30	$20	$2.1K
99211	3	10	30	$10	$1.7K
G0008	1	10	70	$20	$1.5K
0124A	1	10	30	$40	$1K
90662	1	10	20	$60	$930
92557	1	10	40	$20	$740

Showing 1–10 of 13

Nearby Providers

Other providers in the same ZIP code as Norma Ada, 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
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
Jiayi Kong	MP	Internal Medicine Physician	$21.9K	$0

Norma Ada — 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