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

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

Mary Hawes (NPI 1831702174)

Field	Value
Entity Type	Individual
Organization	Mary Hawes
Address	1000 Carondelet Dr Ste 100
City	Kansas City
State	MO
ZIP	64114
Taxonomy	Family Nurse Practitioner
NPI Enumerated	August 26, 2020

Payer Source	Total Paid
Medicare	$20.5K
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
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…	210	$70	$14.5K
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…	70	$40	$2.5K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	20	$110	$2K
0241U	N/A	10	$140	$1.5K
81003	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…	20	$1	$50

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. Missouri Distribution

Mary Hawes — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	2,575	8,960	100	$80	$13.9K
G0439	1,540	1,770	60	$110	$10.2K
99213	4,321	8,730	70	$50	$7K
0241U	10	10	20	$140	$3.8K
81003	619	1,020	30	$1	$170

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Stephen Sides	MO	Rheumatology Physician	$2.9M	$0
Shadi Haddadin	MO	Hematology & Oncology Physician	$2.2M	$0
Tamara Hopkins	MO	Hematology & Oncology Physician	$887.1K	$0
Thomas Schneider	MO	Pulmonary Disease Physician	$411.2K	$0
Michael Snyder	MO	Orthopaedic Surgery Physician	$320.1K	$0
Douglas Cowan	KS	Otolaryngology Physician	$311.9K	$0
Daniel Kloster	KS	Interventional Pain Medicine Physician	$291.3K	$0
Jonathan Craighead	MO	Orthopaedic Surgery Physician	$259.6K	$0
Philip Rumbaoa	MO	Phlebology Physician	$257.7K	$0
Jaswinder Singh	MO	Hematology & Oncology Physician	$238.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cornerstones Of Care	MO	Mental Illness Community Based Residential Treatment Facility	$0	$7M
Sherwood Center For The Exceptional Child	MO	Developmentally Disabled Services Day Training Agency	$0	$6.3M
Spiral Health Systems Inc.	MO	In Home Supportive Care Agency	$0	$4.9M
Prime Healthcare Services - Kansas City, LLC	MO	General Acute Care Hospital	$0	$4.4M
Mark Box	MO	Rheumatology Physician	$1.3M	$0
John Rupp	MO	Dermatology Physician	$747.1K	$0
John Armilio	MO	Family Medicine Physician	$632.3K	$0
Ramilo Gatapia	MO	Internal Medicine Physician	$213.8K	$401.5K
Thad Stephens	MO	Undersea and Hyperbaric Medicine (Emergency Medicine) Physician	$309K	$0
Patrick Perkins	MO	Pulmonary Disease Physician	$281.1K	$0

Mary Hawes — Billing Profile & Reimbursement Data

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Mary Hawes — 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