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

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

Joni Hall (NPI 1730280678)

Field	Value
Entity Type	Individual
Organization	Joni Hall
Address	6500 Excelsior Blvd
City	St Louis Park
State	MN
ZIP	55426
Taxonomy	Family Nurse Practitioner
NPI Enumerated	September 25, 2006

Payer Source	Total Paid
Medicare	$42.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	300	$100	$29.8K
99316	The provider sees a patient for nursing facility discharge management requiring more than 30 minutes.	110	$90	$9.1K
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…	60	$70	$4.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Minnesota Distribution

Joni Hall — 1 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99310	29	340	70	$100	$12.2K
99309	305	540	80	$70	$10.5K
99316	9	170	30	$90	$3.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Park Nicollet Methodist Hospital	MN	General Acute Care Hospital	$0	$17.2M
Care Clinics, LLC	MN	Psychologist	$0	$13.9M
Por, LLC	MN	Case Management Agency	$0	$10.9M
Medway Support Services. LLC	MN	Health Maintenance Organization	$0	$10.2M
Hoy & Associates Inc.	MN	Community/Behavioral Health Agency	$0	$9.5M
Behavioral Dimensions, Inc.	MN	Cognitive & Behavioral Psychologist	$0	$8.6M
Kaire LLC	MN	Community/Behavioral Health Agency	$0	$8.2M
Sholom Community Alliance Home Health Care	MN	Home Health Agency	$0	$6.7M
Melissa Sherman	MN	Internal Medicine Physician	$625.1K	$0
Turang Behbahani	MN	Hematology & Oncology Physician	$613.9K	$0

Joni Hall — Billing Profile & Reimbursement Data

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Joni Hall — 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