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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

Amy Howard (NPI 1700426574)

Field	Value
Entity Type	Individual
Organization	Amy Howard
Address	510 Balsam Rd
City	Hendersonville
State	NC
ZIP	28792
Taxonomy	Family Nurse Practitioner
NPI Enumerated	January 9, 2020

Payer Source	Total Paid
Medicare	$44.5K
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
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	380	$70	$25.5K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	280	$50	$13K
99315	The provider sees a patient for nursing facility discharge management requiring 30 minutes or less.	80	$50	$4.2K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	20	$100	$2.1K

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. North Carolina Distribution

Amy Howard — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	358	900	260	$70	$31.2K
99308	212	740	130	$50	$13.5K
99310	393	470	50	$100	$10.5K
99315	10	120	20	$50	$2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Larry Russell	NC	Family Medicine Physician	$95.2K	$0
Denise Hunt	NC	Family Nurse Practitioner	$88.7K	$0
Linda Brooks	NC	Family Nurse Practitioner	$85.8K	$0
Anna Hicks	NC	Geriatric Medicine (Internal Medicine) Physician	$45.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hendersonville Pediatrics, P.A.	NC	Specialist	$0	$24.4M
Fletcher Hospital Inc.	NC	Rural Acute Care Hospital	$0	$12M
Blue Ridge Community Health Services, Inc.	NC	Federally Qualified Health Center (FQHC)	$0	$9.8M
Alan Verm	NC	Ophthalmology Physician	$459.7K	$0
Beverly Collins	NC	Gerontology Nurse Practitioner	$198.9K	$0
Publix North Carolina, LP	NC	Community/Retail Pharmacy	$182.5K	$0
Melisa Harrington	NC	Nephrology Physician	$159.9K	$0
Elizabeth Dray	NC	Urology Physician	$153.1K	$0
Marshall Ney	NC	Physical Medicine & Rehabilitation Physician	$124.2K	$0
Royce Bailey	NC	Internal Medicine Physician	$99.9K	$0

Amy Howard — Billing Profile & Reimbursement Data

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Amy Howard — 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