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

Why is the Medicaid comparison limited to New Hampshire 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. New Hampshire (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.

Heather Cale (NPI 1790153146)

Field	Value
Entity Type	Individual
Organization	Heather Cale
Address	5 Alumni Dr
City	Exeter
State	NH
ZIP	03833
Taxonomy	Hospitalist Physician
NPI Enumerated	September 2, 2015

Payer Source	Total Paid
Medicare	$83.5K
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
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	780	$70	$52.5K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	190	$100	$18.3K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	80	$110	$8.5K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	30	$90	$2.3K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	10	$150	$1.9K

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. New Hampshire Distribution

Heather Cale — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Hampshire

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	473	600	70	$90	$10.9K
99232	21	990	70	$60	$9.8K
99223	620	700	30	$130	$7.2K
99239	27	380	60	$90	$7.1K
99222	52	710	30	$100	$3.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Coastal Medical Associates	MA	Anesthesiology Physician	$0	$10M
Core Physicians, LLC	NH	Family Medicine Physician	$0	$5.8M
Steven Graff	RI	Orthopaedic Hand Surgery Physician	$67.7K	$798.6K
Raju Singla	MA	Internal Medicine Physician	$632.7K	$0
Salman Ghiasuddin	MA	Interventional Cardiology Physician	$561.3K	$0
Ayobami Ojutalayo	MA	Family Medicine Physician	$521.7K	$1.6K
Michael Ayers	MA	Orthopaedic Surgery Physician	$484.8K	$0
Julius Tabe	MA	Family Medicine Physician	$449.6K	$2.5K
Helen Moreira	MA	Ophthalmology Physician	$443.3K	$0
Casey O'donnell	MA	Physical Medicine & Rehabilitation Physician	$406.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Exeter Hospital Inc	NH	General Acute Care Hospital	$0	$12.5M
County Of Rockingham	NH	Nursing Facility/Intermediate Care Facility	$0	$2.6M
Seacoast Pathology Inc	NH	Clinical Medical Laboratory	$1.4M	$994.8K
Emergency Medicine Physicians Of Rockingham County, LLC	NH	Emergency Medicine Physician	$0	$1.4M
Seacoast Youth Services	NH	Adolescent and Children Mental Health Clinic/Center	$0	$1.2M
The Exeter Cooperative School District	NH	Local Education Agency (LEA)	$0	$894.9K
Exeter School District	NH	Local Education Agency (LEA)	$0	$750.7K
Kenneth Brown	NH	Psychiatry Physician	$477.7K	$0
Heidi Mullen	NH	Dermatology Physician	$464.1K	$0
Rockingham Visiting Nurse Association And Hospice	NH	Home Health Agency	$0	$428.4K

Heather Cale — Billing Profile & Reimbursement Data

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Heather Cale — 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