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

Why is the Medicaid comparison limited to Tennessee 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. Tennessee (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 Payne (NPI 1780018036)

Field	Value
Entity Type	Individual
Organization	Nicole Payne
Address	4601 Carothers Pkwy Ste 215
City	Franklin
State	TN
ZIP	37067
Taxonomy	Audiologist
NPI Enumerated	August 22, 2013

Payer Source	Total Paid
Medicare	$6.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
92557	The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…	110	$20	$2.7K
92519	In this procedure, the provider measures the patient’s response to high–level acoustic stimuli (sound) using electrodes placed on the neck (cervical region) and near the eye (for ocular muscles). The…	20	$90	$1.5K
92540	The provider performs four specific tests, with recording, to check balance disorders. This code represents both the technical and professional components of the service.	20	$80	$1.2K
92537	A caloric vestibular test refers to a qualitative test that involves sequentially irrigating both ears with warm and cold water while evaluating the patient’s eye movements. This helps measure the…	20	$30	$450
92567	In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss.	20	$10	$170
92547	During a vestibular function test with recording, the provider uses additional vertical electrodes placed around the eye to assess nystagmus.	20	$10	$110

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Tennessee Distribution

Nicole Payne — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92557	86	260	80	$20	$2.5K
92540	26	30	20	$70	$2.4K
92519	4	10	20	$90	$2.1K
92567	208	230	80	$10	$1.2K
92547	4	10	30	$10	$770
92537	15	20	20	$30	$730

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Christopher Mantle	TN	Otolaryngology Physician	$66K	$0
Charles Wright	TN	Otolaryngology Physician	$62.5K	$0
Mark Deaton	TN	Otolaryngology Physician	$56K	$0
Daniel Sacks	TN	Otolaryngology Physician	$52.2K	$0
Melissa Kirby	TN	Speech-Language Pathologist	$16.8K	$0
Alexandra Berlin	TN	Audiologist	$5.8K	$0
Derek Beaudoin	TN	Audiologist	$3.2K	$0

Nicole Payne — Billing Profile & Reimbursement Data

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Nicole Payne — 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

Frequently Asked Questions

References