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

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

Cheryl Gore (NPI 1710375050)

Field	Value
Entity Type	Individual
Organization	Cheryl Gore
Address	855 Lovers Ln Ste 106
City	Bowling Green
State	KY
ZIP	42103
Taxonomy	Psychiatric/Mental Health Nurse Practitioner
NPI Enumerated	January 8, 2015

Payer Source	Total Paid
Medicare	$6.7K
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
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…	110	$50	$5K
Q3014	Telehealth originating site facility fee	80	$20	$1.4K
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…	20	$20	$320
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	20	$1	$30

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. Kentucky Distribution

Cheryl Gore — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	3,560	7,230	110	$70	$14.1K
99213	6,514	7,250	80	$50	$7.7K
Q3014	7	20	50	$20	$1.5K
96127	85	100	30	$1	$150

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Four County Mental Health Center Inc	KS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$32.2M
Four County Mental Health Center, Inc.	KS	Community/Behavioral Health Agency	$0	$28.9M
High Plains Mental Health Center	KS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$14.5M
Labette Center For Mental Health Services Incorporated	KS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.2M
Labette Center For Mental Health Services, Inc.	KS	Community/Behavioral Health Agency	$0	$6.1M
River Region Psychiatry Associates LLC	AL	Psychiatry Physician	$0	$4.5M
Iroquois Center For Human Development, Inc.	KS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$4M
Shankar Yalamanchili	AL	Psychiatry Physician	$606.7K	$5.7K
Jayakrishna Madabushi	AL	Psychiatry Physician	$511.2K	$0
Trever Krehbiel	KS	Psychiatry Physician	$335.6K	$6.6K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lifeskills, Inc	KY	Community/Behavioral Health Agency	$0	$168.8M
Lifeskills, Inc.	KY	Community/Behavioral Health Agency	$0	$81.9M
Uhs Of Bowling Green LLC	KY	Psychiatric Hospital	$0	$41.2M
Acculab, LLC	KY	Clinical Medical Laboratory	$699.2K	$21.1M
Interventional Pain Specialists Of Bowling Green Plc	KY	Pain Medicine (Anesthesiology) Physician	$0	$10.6M
Pediatric Dentistry Of Southern Kentucky	KY	Pediatric Dentistry	$0	$9M
Growing Minds Learning Center, LLC	KY	Behavior Analyst	$0	$8.9M
Bowling Green Warren County Primary Care Center, Inc.	KY	Federally Qualified Health Center (FQHC)	$0	$8.5M
Amanda Ashley	KY	Pediatric Dentistry	$0	$8.4M
Lucasacare	KY	Developmentally Disabled Services Day Training Agency	$0	$8.4M

Cheryl Gore — Billing Profile & Reimbursement Data

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Cheryl Gore — 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