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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

Teresa Poole (NPI 1790757698)

Field	Value
Entity Type	Individual
Organization	Teresa Poole
Address	692 N Spence Ave
City	Goldsboro
State	NC
ZIP	27534
Taxonomy	Clinical Psychologist
NPI Enumerated	February 3, 2006

Payer Source	Total Paid
Medicare	$10.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	70	$90	$6.2K
96131	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	50	$70	$3.4K
96130	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	10	$70	$1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

Teresa Poole — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90837	473	580	150	$90	$16.3K
96130	27	30	20	$90	$3.9K
96131	9	20	40	$60	$3.5K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Waynesboro Family Clinic	NC	Mental Health Counselor	$0	$32.8M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Goldsboro Pediatrics PA	NC	Pediatrics Physician	$0	$61.3M
Wayne Memorial Hospital Inc	NC	General Acute Care Hospital	$0	$37.8M
Crossroads Support Services, Inc	NC	Home Health Agency	$0	$13.5M
Simmons Early Intervention Therapy, LLC	NC	Developmental Therapist	$0	$12.9M
Howell Support Services	NC	Community/Behavioral Health Agency	$0	$11.5M
Clientfirst Of Nc, LLC	NC	Community/Behavioral Health Agency	$0	$10M
Personal Homecare Solutions, Inc.	NC	Personal Care Attendant	$0	$9.5M
Omni Family Of Services North Carolina Inc.	NC	Community/Behavioral Health Agency	$0	$8.5M
Goldsboro Emergency Medical Specialists, Inc.	NC	Emergency Medicine Physician	$0	$8.2M
Triangle Comprehensive Health Services, Inc	NC	Community/Behavioral Health Agency	$0	$8M

Teresa Poole — Billing Profile & Reimbursement Data

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Teresa Poole — 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