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

Why is the Medicaid comparison limited to 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. 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.

Elise French (NPI 1780910216)

Field	Value
Entity Type	Individual
Organization	Elise French
Address	10510 Jefferson Ave
City	Newport News
State	VA
ZIP	23601
Taxonomy	Obstetrics & Gynecology Nurse Practitioner
NPI Enumerated	October 18, 2009

Payer Source	Total Paid
Medicare	$12.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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	$3.3K
G0101	Cervical or vaginal cancer screening; pelvic and clinical breast examination	80	$30	$2.6K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	60	$30	$2K
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…	20	$80	$1.9K
76830	The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.	20	$70	$1.1K
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…	10	$60	$830
G0145	Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under…	20	$30	$420

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Virginia Distribution

Elise French — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	11,522	12,890	140	$80	$21K
99213	7,698	12,440	90	$60	$10K
99203	4,330	4,920	30	$70	$3.8K
99212	746	2,830	30	$40	$2.3K
G0145	9	10	20	$30	$2.1K
G0101	89	530	30	$40	$1.9K
76830	168	260	20	$70	$1.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Riverside Hospital Inc	VA	General Acute Care Hospital	$0	$136.7M
Hope In Home Care LLC	VA	Respite Care	$0	$63.4M
Riverside Physician Services, Inc.	VA	Family Medicine Physician	$0	$44.7M
New Life, LLC	VA	Community/Behavioral Health Agency	$0	$10.6M
All Ways There Home Care	VA	Home Health Agency	$0	$9.4M
Riverside Hospital Inc.	VA	Family Medicine Physician	$0	$7.7M
Universal Mental Health Services, LLC	VA	Adolescent and Children Mental Health Clinic/Center	$0	$7.1M
Peninsula Radiological Associates Limited	VA	Diagnostic Radiology Physician	$0	$6.5M
Charles Kersh	VA	Radiation Oncology Physician	$408.8K	$0
Michael Hooker	VA	Orthopaedic Surgery Physician	$382.5K	$0

Elise French — Billing Profile & Reimbursement Data

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Elise French — 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