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

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

Cheryl Hayes (NPI 1841259975)

Field	Value
Entity Type	Individual
Organization	Cheryl Hayes
Address	1595 Nw Gilman Blvd Ste 15
City	Issaquah
State	WA
ZIP	98027
Taxonomy	Physical Medicine & Rehabilitation Physician
NPI Enumerated	March 18, 2006

Payer Source	Total Paid
Medicare	$18.1K
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…	130	$100	$12.6K
99215	The provider sees an established 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…	20	$130	$2.7K
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…	20	$60	$1.2K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	20	$50	$1.1K
99423	Using online communication technologies, a physician or other qualified healthcare professional discusses a health issue and possible treatment or management with an established patient. This code…	20	$30	$570

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. Washington Distribution

Cheryl Hayes — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	4,197	10,860	100	$80	$13.6K
99215	3,086	4,320	40	$120	$8.4K
99213	8,565	9,690	60	$60	$6.5K
20610	581	790	50	$50	$3.3K
99423	1	10	20	$30	$590

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
King Co Fire Dist No 10	WA	Land Ambulance	$382.5K	$11.3M
Connie Chen	WA	Ophthalmology Physician	$670.6K	$0
The Eastside Endoscopy Center, LLC	WA	Ambulatory Surgical Clinic/Center	$515.9K	$10.4K
Eastside Medical Group, LLC	WA	Ambulatory Surgical Clinic/Center	$505.8K	$0
Costco Wholesale Corporation	WA	Community/Retail Pharmacy	$259.5K	$0
Matthew Gordon	WA	Dermatology Physician	$255.6K	$0
Victor Michalak	WA	Specialist	$242.7K	$0
Arlo Miller	WA	Dermatology Physician	$225.7K	$0
Jason Kim	WA	Pain Medicine (Anesthesiology) Physician	$216.4K	$0
Lora Plaskon	WA	Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician	$185.7K	$0

Cheryl Hayes — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References