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

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

Constance Knowles (NPI 1821372236)

Field	Value
Entity Type	Individual
Organization	Constance Knowles
Address	1005 Boulder Dr
City	Gray
State	GA
ZIP	31032
Taxonomy	Family Nurse Practitioner
NPI Enumerated	October 4, 2011

Payer Source	Total Paid
Medicare	$199.9K
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
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	2,080	$70	$139.3K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	200	$100	$19.4K
99491	The provider, a physician or other healthcare professional, personally directs the evaluation and management of a patient with two or more chronic A physician or other qualified healthcare…	290	$50	$15.5K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	280	$50	$12.8K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	90	$50	$5K
99484	Clinical staff members spend at least 20 minutes each month coordinating and managing a patient’s behavioral health services under the direction of a physician or other qualified health care…	160	$30	$4.2K
99316	The provider sees a patient for nursing facility discharge management requiring more than 30 minutes.	40	$80	$3.6K

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. Georgia Distribution

Constance Knowles — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	24	560	270	$70	$38.4K
99308	184	500	150	$50	$17.4K
99310	45	270	60	$100	$15.4K
99491	12	80	90	$60	$9.2K
99484	6	20	140	$30	$8K
99497	236	860	50	$60	$5.7K
99316	38	120	30	$90	$3.6K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mary Mckinley	GA	Internal Medicine Physician	$506.8K	$0
Kirpich Joseph	GA	Family Medicine Physician	$224.8K	$1.7K
Wyatt Blake	GA	Family Medicine Physician	$186.3K	$0
Betty Riner	GA	Adult Health Clinical Nurse Specialist	$141.2K	$0
Catherine Wilson	GA	Family Nurse Practitioner	$79.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sabine Doirin	GA	Family Nurse Practitioner	$271.8K	$0

Constance Knowles — Billing Profile & Reimbursement Data

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Constance Knowles — 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