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.

Lenora Downs (NPI 1790437895)

Field	Value
Entity Type	Individual
Organization	Lenora Downs
Address	6025 Primacy Pkwy
City	Memphis
State	TN
ZIP	38119
Taxonomy	Adult Health Nurse Practitioner
NPI Enumerated	January 20, 2022

Payer Source	Total Paid
Medicare	$53.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99496	The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…	230	$170	$39.3K
99348	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…	140	$50	$6.8K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	70	$80	$5.5K
99347	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves straightforward medical decision making or the provider spends at…	70	$30	$2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Tennessee Distribution

Lenora Downs — 1 of 4 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

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99349	179	340	80	$80	$16.2K
99348	46	240	50	$50	$6K
99496	3	350	20	$190	$5K
99347	20	80	40	$30	$2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lindsey Burney	MS	Family Nurse Practitioner	$2.3M	$0
Katelynn Pannell	MS	Family Nurse Practitioner	$369K	$0
Courtney Goode	MS	Adult Health Nurse Practitioner	$116.9K	$105.4K
Jill Thomas	AR	Gerontology Nurse Practitioner	$200.2K	$0
Amanda Kennedy	MS	Primary Care Clinic/Center	$171.5K	$0
Kimberly Meador	MS	Nurse Practitioner	$170.4K	$0
Regina Young	MS	Gerontology Nurse Practitioner	$155.1K	$0
Hannah Christian	MS	Adult Health Nurse Practitioner	$143.7K	$0
Brittany Reynolds	AR	Family Nurse Practitioner	$141.6K	$0
Angela Reeves	MS	Family Medicine Physician	$141.4K	$0

Lenora Downs — Billing Profile & Reimbursement Data

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Lenora Downs — 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