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

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

Carrie Defuss (NPI 1710486063)

Field	Value
Entity Type	Individual
Organization	Carrie Defuss
Address	1541 Riverboat Center Dr
City	Joliet
State	IL
ZIP	60431
Taxonomy	Family Nurse Practitioner
NPI Enumerated	February 1, 2018

Payer Source	Total Paid
Medicare	$166.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

33 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	740	$60	$41.3K
J1952	Leuprolide injectable, camcevi, 1 mg	500	$60	$31.2K
J9217	Leuprolide acetate (for depot suspension), 7.5 mg	110	$130	$15.3K
91122	N/A	80	$190	$14.6K
J9155	Injection, degarelix, 1 mg	3,040	$1	$9.1K
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…	80	$80	$7K
51702	The bladder catheter CPT® codes provide options for reporting the procedures that best reflect the exact anatomic location of a catheter insertion, the type of catheter inserted, and, in some cases,…	120	$40	$4.7K
A4562	Pessary, reusable, non rubber, any type	90	$50	$4.3K
57160	In this procedure, the provider fits and inserts a pessary or similar device into the vagina to treat vaginal wall prolapse or other disorders.	90	$50	$4.1K
51798	Providers perform this ultrasound to measure the volume of residual urine in the bladder.	480	$10	$3.8K

Showing 1–10 of 33

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 33 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Illinois Distribution

Carrie Defuss — 2 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. state median

33 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J1952	33	30	920	$70	$73.5K
87088	14	30	140	$10	$31.9K
J9217	106	160	140	$130	$21.1K
99214	10,883	18,540	110	$80	$17.1K
87077	21	30	90	$10	$15.4K
J9155	7	10	3,080	$1	$13.5K
97110	3,857	4,100	480	$20	$12.9K
99232	7,700	7,960	90	$60	$12.4K
87086	31	110	40	$10	$11.9K
99215	5,453	6,240	40	$120	$10.1K

Showing 1–10 of 33

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Parthiv Mehta	IL	Radiation Oncology Physician	$5.9M	$0
Brett Cox	IL	Radiation Oncology Physician	$1.6M	$0
Kenneth Beck	IL	Anatomic Pathology & Clinical Pathology Physician	$1.6M	$210
Michael Shriver	OH	Diagnostic Radiology Physician	$1.1M	$0
Steven Mutchnik	IL	Urology Physician	$982K	$17.5K
Paul Desrosiers	IL	Radiation Oncology Physician	$982.1K	$0
Aaron Berger	IL	Urology Physician	$904.1K	$4.5K
Mark Brandt	IL	Urology Physician	$691.3K	$25.1K
Jayant Ginde	IL	Radiation Oncology Physician	$691.4K	$0
Gregory Andros	IL	Urology Physician	$645.8K	$10

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Luke Cho	IL	Urology Physician	$490.9K	$1.5K
Sandeep Sawhney	IL	Urology Physician	$481.9K	$5.3K
Peter Tek	IL	Urology Physician	$374K	$1.3K
Thomas Burns	IL	Urology Physician	$360.7K	$250
Christina Malek	IL	Family Nurse Practitioner	$268.1K	$0
Constance Marks	IL	Specialist	$202.1K	$1
Thai Nguyen	IL	Urology Physician	$135.8K	$0
Breck Tiernan	IL	Foot & Ankle Surgery Podiatrist	$118.3K	$0
Dinah Bondoc	IL	Physical Therapist	$87.4K	$0
Denys Crater	IL	Family Nurse Practitioner	$40.6K	$0

Carrie Defuss — 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