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

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

Alison Caffrey (NPI 1760017461)

Field	Value
Entity Type	Individual
Organization	Alison Caffrey
Address	4024 Park East Ct Se
City	Grand Rapids
State	MI
ZIP	49546
Taxonomy	Physician Assistant
NPI Enumerated	March 3, 2020

Payer Source	Total Paid
Medicare	$17.4K
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…	100	$100	$10.2K
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…	80	$70	$5.4K
99316	The provider sees a patient for nursing facility discharge management requiring more than 30 minutes.	20	$90	$1.7K

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. Michigan Distribution

Alison Caffrey — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	39	830	170	$70	$21.8K
99310	7	350	50	$110	$12.4K
99316	17	240	30	$90	$4.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Roman Zolotoy	MI	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$116.6K	$0
Sanjay Kumar	WI	Clinical Cardiac Electrophysiology Physician	$113.3K	$0
Steven Schmeling	MI	Certified Registered Nurse Anesthetist	$27.1K	$0
Stephanie Wente	MI	Family Nurse Practitioner	$9.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Reliance Community Care Partners	MI	Case Management Agency	$0	$145.4M
Dental Group Associates PC	MI	Pediatric Dentistry	$0	$16.1M
Pediatric Dental Specialists Of West Michigan	MI	Pediatric Dentistry	$0	$11M
Michigan Pain Consultants PC	MI	Pain Medicine (Anesthesiology) Physician	$0	$9.9M
Mitten Kids Dentistry Cascade Plc	MI	Pediatric Dentistry	$0	$7.2M
Carepoint Dental Anesthesia Group Of Michigan, PLLC	MI	Dental Anesthesiology	$0	$6.4M
Retina Specialists Of Michigan PC	MI	Retina Specialist (Ophthalmology) Physician	$0	$5.5M
Kathleen Dehorn	MI	Ophthalmology Physician	$1.7M	$0
Jeffrey Zheutlin	MI	Ophthalmology Physician	$1.5M	$0
Nathan Pezda	MI	Retina Specialist (Ophthalmology) Physician	$1.1M	$0

Alison Caffrey — Billing Profile & Reimbursement Data

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Alison Caffrey — 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