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

Why is the Medicaid comparison limited to West Virginia 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. West Virginia (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.

Nicole Clendenin (NPI 1770127516)

Field	Value
Entity Type	Individual
Organization	Nicole Clendenin
Address	23 Thoroughbred Rd
City	Scott Depot
State	WV
ZIP	25560
Taxonomy	Family Nurse Practitioner
NPI Enumerated	November 5, 2019

Payer Source	Total Paid
Medicare	$50.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	320	$50	$15.2K
99305	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	160	$90	$13.5K
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…	150	$70	$9.9K
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	290	$30	$7.3K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	40	$120	$5.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. West Virginia Distribution

Nicole Clendenin — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	81	160	160	$70	$26.3K
99308	32	150	110	$50	$10.7K
99306	32	60	50	$130	$10.3K
99305	7	70	30	$90	$6.1K
99307	6	50	80	$30	$3.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hope For Tomorrow, LLC	WV	Substance Abuse Rehabilitation Facility	$0	$25.6M
Margaret Cavino	CT	Medical Physician Assistant	$293.1K	$0
Stephanie Ayan	NH	Family Nurse Practitioner	$38.4K	$189.8K
Rishi Pathak	LA	Physical Medicine & Rehabilitation Physician	$216.2K	$0
Rachel Hayden	IN	Physician Assistant	$214.1K	$0
Scott Appell	AL	Orthopaedic Surgery Physician	$209.3K	$0
Brandy Shephard	TN	Family Nurse Practitioner	$197.5K	$0
Rachel Ralston	OK	Family Nurse Practitioner	$190.7K	$0
Tara Perdue	KY	Physician Assistant	$190.4K	$0
Evelynn Pennington	SC	Primary Care Nurse Practitioner	$180.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Women Care Inc	WV	Federally Qualified Health Center (FQHC)	$0	$20.5M
Valley Health Systems, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$6.3M
Teays Valley Volunteer Fire Department Inc	WV	Ambulance	$235.1K	$657.5K
Lydia Smith	WV	Family Nurse Practitioner	$54.2K	$0
Christopher Kennedy	WV	Physician Assistant	$19.1K	$0
Lisa Burke	WV	Obstetrics & Gynecology Physician	$11.2K	$0
James Nottingham	WV	Nurse Practitioner	$10.7K	$0
Kara Cipriani	WV	Family Nurse Practitioner	$8.3K	$0
Mary Jenkins	WV	Family Medicine Physician	$7.2K	$0

Nicole Clendenin — Billing Profile & Reimbursement Data

Sign up for Nicole Clendenin — Billing Profile & Reimbursement Data policy alerts

Nicole Clendenin — Billing Profile & Reimbursement Data

Sign up for Nicole Clendenin — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References