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

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

Susan Duncan (NPI 1700106606)

Field	Value
Entity Type	Individual
Organization	Susan Duncan
Address	28 Black Cole Rd.
City	Fort Washakie
State	WY
ZIP	82514
Taxonomy	Clinical Social Worker
NPI Enumerated	June 3, 2010

Payer Source	Total Paid
Medicare	$35.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	480	$40	$21.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	50	$100	$5.4K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	60	$90	$5.1K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	80	$60	$4.3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wyoming Distribution

Susan Duncan — 2 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wyoming

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90837	57	60	200	$90	$21K
90834	13	20	110	$60	$7.6K
90832	1	10	80	$40	$5K
90791	2	20	20	$110	$3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Connecticut Mental Health Specialists Inc	CT	Psychiatry Physician	$0	$1.1M
Kelli Gagne	SC	Psychiatric/Mental Health Nurse Practitioner	$320.8K	$0
Debbre Oberman	CT	Clinical Social Worker	$46.5K	$252.2K
Martin Cooper	CT	Geriatric Psychiatry Physician	$283.7K	$0
Rana Singh	CT	Psychiatry Physician	$192.9K	$0
Nora Frempong	CT	Physician Assistant	$162.4K	$0
Seth Banever	CT	Psychiatry Physician	$152.9K	$0
Jorge Aguilar-zanatta	CT	Psychiatry Physician	$151K	$0
Constantino Papadopoulos	CT	Physician Assistant	$150.9K	$0
Rebecca Strubbe	CT	Medical Physician Assistant	$125.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Us Health Dept Of Health & Human Services	WY	Federal Public Health Clinic/Center	$0	$26.1M
Shoshone Tribe	WY	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$668.3K

Susan Duncan — Billing Profile & Reimbursement Data

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Susan Duncan — 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

Nearby Providers

Frequently Asked Questions

References