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

Why is the Medicaid comparison limited to South 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. South 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.

Anne Edens (NPI 1831217116)

Field	Value
Entity Type	Individual
Organization	Anne Edens
Address	2962 Medical Plaza Dr.
City	North Charleston
State	SC
ZIP	29406
Taxonomy	Clinical Psychologist
NPI Enumerated	March 26, 2007

Payer Source	Total Paid
Medicare	$7.1K
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
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…	60	$70	$3.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	10	$130	$1.7K
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…	20	$90	$1.5K

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. South Carolina Distribution

Anne Edens — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Carolina

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90791	140	170	20	$110	$4K
96130	11	20	20	$90	$3.7K
96131	4	10	60	$60	$3.5K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Trident Pain Center LLC	SC	Interventional Pain Medicine Physician	$0	$1.8M
Elizabeth Snoderly	SC	Pain Medicine (Anesthesiology) Physician	$531.3K	$0
Devin Antonovich	SC	Anesthesiology Physician	$507.3K	$0
Joseph Nolan	SC	Interventional Pain Medicine Physician	$427.3K	$41.1K
Anthony Maggio	AL	Pain Medicine Physician	$213.5K	$16.3K
Allyson Thatcher	SC	Interventional Pain Medicine Physician	$222.5K	$810
Courtney Moldenhauer	SC	Physician Assistant	$181.8K	$0
Kristen Giet	SC	Physician Assistant	$140.3K	$0
Edward Gage	SC	Physician Assistant	$109.6K	$0

Anne Edens — Billing Profile & Reimbursement Data

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Anne Edens — 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