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

Why is the Medicaid comparison limited to South 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. South 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.

Kimberly Monnell (NPI 1720092166)

Field	Value
Entity Type	Individual
Organization	Kimberly Monnell
Address	3980 Hwy. 9 East
City	Little River
State	SC
ZIP	29566
Taxonomy	Neurology Physician
NPI Enumerated	July 29, 2006

Payer Source	Total Paid
Medicare	$58K
Medicaid	$0

Medicare: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	220	$60	$12.7K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	90	$130	$11.7K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	120	$90	$10.3K
95720	A physician or other QHCP reviews recorded events and analyzes spike and seizure detection of a continuous electroencephalography, a study of the electrical activity of the brain. A video is…	60	$150	$9.7K
95816	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	130	$40	$5.4K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	50	$100	$4.4K
95822	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG when…	40	$40	$1.5K
95718	A physician or other QHCP reviews recorded events and analyzes spike and seizure detection of a continuous electroencephalography, a study of the electrical activity of the brain. The EEG recording…	20	$100	$1.5K
95819	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	20	$40	$590

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Carolina Distribution

Kimberly Monnell — 1 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Carolina

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
95720	12	20	70	$150	$16.5K
99232	745	2,780	90	$60	$12K
99233	622	1,770	80	$90	$10.7K
99223	419	2,080	40	$130	$8.3K
95816	7	70	40	$110	$7K
95819	23	30	20	$160	$4.7K
99222	552	1,830	30	$90	$4.2K
95718	13	20	20	$100	$2.8K
95822	1	10	20	$40	$1.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Little River Medical Center Inc	SC	Federally Qualified Health Center (FQHC)	$0	$8M
Robert Prinzi	SC	Retina Specialist (Ophthalmology) Physician	$5.7M	$0
Little River Medical Center Inc	SC	Dentist	$0	$4M
Mcleod Physician Associates	SC	Obstetrics & Gynecology Physician	$0	$2.6M
Sr Plus Behavior Consultants, Inc.	SC	Behavior Analyst	$0	$2.5M
Elite Pain Management, LLC	SC	Pain Medicine Physician	$0	$1.6M
Timothy Gajewski	SC	Urology Physician	$554.7K	$0
Alex Mcgaughy	SC	Ophthalmology Physician	$543.4K	$0
Christopher Walsh	SC	Orthopaedic Surgery Physician	$470.1K	$0
Thirston Phillips	SC	Physical Medicine & Rehabilitation Physician	$454.1K	$0

Kimberly Monnell — Billing Profile & Reimbursement Data

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Kimberly Monnell — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References