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

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

Theresa Birchfield (NPI 1780206854)

Field	Value
Entity Type	Individual
Organization	Theresa Birchfield
Address	10735 Double R Blvd
City	Reno
State	NV
ZIP	89521
Taxonomy	Physician Assistant
NPI Enumerated	May 12, 2020

Payer Source	Total Paid
Medicare	$36.9K
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
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	150	$70	$11.2K
70486	The provider uses computed tomography, or CT, to examine the maxillofacial area, such as the upper jaw or face structures. The provider does not administer contrast for this exam.	120	$80	$9.7K
31237	In this procedure, the provider inserts an endoscope into the nasal cavity. She examines the nasal contents. The provider then performs a nasal biopsy, polypectomy, or debridement.	50	$160	$7.2K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	60	$60	$3.4K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	30	$110	$3.3K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	40	$60	$2.2K

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. Nevada Distribution

Theresa Birchfield — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nevada

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,482	3,610	110	$80	$19K
31237	4	10	30	$250	$10.4K
99213	2,064	3,500	80	$60	$10K
99204	1,020	2,010	30	$110	$5.8K
99203	659	1,380	30	$70	$3.8K
70486	2	100	30	$60	$2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Stacey Hudson	NV	Otolaryngology Physician	$957.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Md Spine Solutions LLC	NV	Clinical Medical Laboratory	$1.5M	$26.3M
Maxim Healthcare Services, Inc.	NV	Home Health Agency	$0	$23.5M
Northern Nevada Dental Specialties Group	NV	Pediatric Dentistry	$0	$9.3M
Renown South Meadows Medical Center	NV	General Acute Care Hospital	$0	$7.3M
Routt Dialysis LLC	NV	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.3M
Guy Jones	NV	Radiation Oncology Physician	$2.5M	$0
Peng Md PLLC	NV	Community Health Clinic/Center	$0	$1.5M
Jason Kehrer	NV	Radiation Oncology Physician	$1.2M	$0
South Meadows Endoscopy Center, LLC	NV	Ambulatory Surgical Clinic/Center	$653.8K	$219.2K
Visionary Surgery Center Of Nevada, LLC	NV	Ambulatory Surgical Clinic/Center	$822.5K	$0

Theresa Birchfield — Billing Profile & Reimbursement Data

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Theresa Birchfield — 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