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

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

Claire Hagan (NPI 1811564289)

Field	Value
Entity Type	Individual
Organization	Claire Hagan
Address	1698 Old Lebanon Rd
City	Campbellsville
State	KY
ZIP	42718
Taxonomy	Family Nurse Practitioner
NPI Enumerated	June 5, 2021

Payer Source	Total Paid
Medicare	$16.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
64566	In this procedure, the provider applies electrical stimulation to the posterior tibial nerve by inserting a needle electrode through the skin.	90	$70	$6.3K
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…	50	$60	$2.6K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	20	$140	$2.1K
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…	30	$80	$2.1K
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…	10	$110	$1.2K
A4562	Pessary, reusable, non rubber, any type	20	$50	$1.1K
57160	In this procedure, the provider fits and inserts a pessary or similar device into the vagina to treat vaginal wall prolapse or other disorders.	20	$50	$750
51798	Providers perform this ultrasound to measure the volume of residual urine in the bladder.	30	$10	$180

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Kentucky Distribution

Claire Hagan — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	6,194	7,230	110	$70	$14.1K
99213	4,829	7,250	80	$50	$7.7K
64566	2	10	90	$70	$6.5K
99204	3,077	3,200	30	$100	$4.8K
99205	417	590	20	$140	$4.4K
A4562	9	10	30	$50	$1.5K
57160	9	10	20	$40	$1K
51798	103	120	80	$10	$850

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Spring View Hospital LLC	KY	Rural Acute Care Hospital	$0	$23.4M
Martha Seeley	KY	Family Medicine Physician	$24.7K	$777.3K
Ryan Malone	IN	Urology Physician	$784.5K	$0
Matthew Feltner	KY	Podiatrist	$633.9K	$0
Stefanie Spalding	KY	Nurse Practitioner	$494.8K	$0
Gary Wortz	KY	Ophthalmology Physician	$494.6K	$0
Christopher Smith	IN	Urology Physician	$426.4K	$0
Lora Sztendera	KY	Family Medicine Physician	$185.4K	$86.6K
Sanjiv Mehta	KY	Orthopaedic Surgery Physician	$262.9K	$0
Neal Prendergast	IN	Urology Physician	$256.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tri-generations LLC Central Ky	KY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$36.1M
Taylor County Hospital District Health Facilities Corporation	KY	General Acute Care Hospital	$0	$36.1M
Modern Care LLC	KY	Adult Care Home Facility	$0	$29.7M
The Kid Spot Center	KY	Occupational Therapist	$0	$27.4M
Phoenix Way, LLC	KY	Developmentally Disabled Services Day Training Agency	$0	$13.6M
Reach For The Stars Case Management	KY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$5.4M
Air Evac Ems Inc	KY	Air Ambulance	$987.5K	$1.8M
City Of Campbellsville Ky	KY	Land Ambulance	$516.8K	$805.8K
Peter Hardin	KY	Radiation Oncology Physician	$694K	$0
Mark Risen	KY	Primary Podiatric Medicine Podiatrist	$170K	$444.7K

Claire Hagan — Billing Profile & Reimbursement Data

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Claire Hagan — 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