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

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

Jennifer Hale (NPI 1831143338)

Field	Value
Entity Type	Individual
Organization	Jennifer Hale
Address	2347 E Gala St
City	Meridian
State	ID
ZIP	83642
Taxonomy	Sleep Medicine (Family Medicine) Physician
NPI Enumerated	May 19, 2006

Payer Source	Total Paid
Medicare	$6.7K
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
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…	30	$90	$2.8K
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	$70	$2K
95811	During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more.	10	$90	$1K
G0399	Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation	20	$30	$520
G0400	Home sleep test (hst) with type iv portable monitor, unattended; minimum of 3 channels	10	$30	$340

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. Idaho Distribution

Jennifer Hale — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	2,147	2,690	90	$70	$10.4K
95811	22	20	30	$140	$7.2K
99204	548	1,180	30	$100	$4.2K
G0399	8	10	20	$30	$2.7K
G0400	2	10	10	$30	$360

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Saint Alphonsus Regional Medical Center Inc	ID	General Acute Care Hospital	$0	$5.1M
Franklin County Medical Center	ID	Critical Access Hospital	$0	$4.2M
Franklin County Medical Center	ID	Rural Health Clinic/Center	$0	$4.2M
Saint Alphonsus Regional Medical Center Inc	ID	General Acute Care Hospital	$0	$4.2M
Saint Alphonsus Medical Center- Ontario Inc	OR	General Acute Care Hospital	$0	$3.7M
Madison Memorial Hospital	ID	Multi-Specialty Clinic/Center	$0	$1.2M
Oneida County Hospital	ID	Rural Health Clinic/Center	$0	$919.3K
Saint Alphonsus Medical Center- Ontario Inc	ID	Rural Health Clinic/Center	$0	$854.6K
Caribou Memorial Hospital	ID	Rural Health Clinic/Center	$0	$565.9K
William Nibley	UT	Medical Oncology Physician	$166K	$326K

Jennifer Hale — Billing Profile & Reimbursement Data

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Jennifer Hale — 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