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

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

Crystal Sutton (NPI 1700293057)

Field	Value
Entity Type	Individual
Organization	Crystal Sutton
Address	23 Wabanaki Way
City	Indian Island
State	ME
ZIP	04468
Taxonomy	Family Nurse Practitioner
NPI Enumerated	July 18, 2014

Payer Source	Total Paid
Medicare	$610
Medicaid	$0

Medicare: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
83037	The analyst performs a test using a drop of blood obtained by fingerstick or venipuncture from the patient to rapidly measure the level of glycosylated hemoglobin, HgbA1c. The analyst uses a device…	30	$10	$320
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	40	$10	$300

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maine Distribution

Crystal Sutton — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
36415	190	250	90	$10	$2.2K
83037	9	20	30	$10	$370

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Keith Kendall	ME	Podiatrist	$29.8K	$0
Lorraine Morin	ME	Nurse Practitioner	$460	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mckay Shared Living Services	ME	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$16.4M
Penobscot Community Health Center	ME	Federally Qualified Health Center (FQHC)	$0	$16M
Penobscot Indian Nation Finance Office	ME	Rural Health Clinic/Center	$0	$5.4M
City Of Old Town	ME	Land Ambulance	$109.9K	$1.3M
Charlotte Fitzgerald	ME	Community Health Worker	$0	$1.2M
Lorraine Lick	ME	Family Nurse Practitioner	$10.4K	$0
Charles Roberts	ME	Physician Assistant	$10K	$0
Kimberly Yartklang	ME	Nurse Practitioner	$6.4K	$0
Magalloway Hughes	ME	Family Nurse Practitioner	$1.7K	$0
Jolene Driver	ME	Physician Assistant	$1.6K	$0

Crystal Sutton — Billing Profile & Reimbursement Data

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Crystal Sutton — 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