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

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

Heather Marshall (NPI 1710228606)

Field	Value
Entity Type	Individual
Organization	Heather Marshall
Address	2600 Mote Dr
City	Covington
State	OH
ZIP	45318
Taxonomy	Family Nurse Practitioner
NPI Enumerated	March 3, 2013

Payer Source	Total Paid
Medicare	$80.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	300	$100	$31.6K
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…	440	$50	$20K
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…	100	$60	$5.6K
G0442	Annual alcohol misuse screening, 5 to 15 minutes	320	$20	$4.8K
G0444	Annual depression screening, 5 to 15 minutes	310	$20	$4.6K
90694	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…	50	$80	$3.7K
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	150	$20	$3.2K
G0402	Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	20	$130	$2.8K
99495	The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires at least moderate medical decision making,…	20	$130	$2K
G0008	Administration of influenza virus vaccine	50	$30	$1.5K

Showing 1–10 of 12

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Ohio Distribution

Heather Marshall — 5 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. state median

12 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	10,067	20,010	100	$70	$11.7K
G0439	44	4,720	60	$90	$7.4K
99213	872	20,000	70	$50	$6.6K
90694	1,147	2,280	50	$80	$5.8K
99204	7,272	8,330	30	$100	$4.4K
99495	379	620	20	$110	$2.2K
G0402	26	450	10	$140	$2.2K
G0008	2,297	5,280	50	$30	$2.1K
G0442	4	200	60	$20	$1.4K
G0447	2	80	30	$20	$1K

Showing 1–10 of 12

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Motaz Hossein	OH	Internal Medicine Physician	$405.4K	$2.1K
Parminder Modgil	OH	Internal Medicine Physician	$240.6K	$101.1K
Kenrick Richardson	OH	Internal Medicine Physician	$222.7K	$0
Priyanka Edara	OH	Internal Medicine Physician	$186.7K	$0
Ahmed Giwa	OH	Hospitalist Physician	$168.3K	$0
Pradip Vyas	OH	Internal Medicine Physician	$157K	$370
Sumit Bassi	MD	Sports Medicine (Family Medicine) Physician	$154.8K	$0
Daniel Elshoff	OH	Family Medicine Physician	$134.8K	$0
John-phillip Markovic	MI	Internal Medicine Physician	$118.8K	$0
Jasminder Singh	OK	Hospitalist Physician	$98.2K	$0

Heather Marshall — Billing Profile & Reimbursement Data

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Heather Marshall — 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

Frequently Asked Questions

References