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.

Toni Keel (NPI 1841835782)

Field	Value
Entity Type	Individual
Organization	Toni Keel
Address	914 W Carlisle Ave
City	Spokane
State	WA
ZIP	99205
Taxonomy	Gerontology Nurse Practitioner
NPI Enumerated	November 14, 2019

Payer Source	Total Paid
Medicare	$48.7K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	230	$80	$19K
99441	N/A	330	$40	$12.4K
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…	100	$60	$6K
99316	The provider sees a patient for nursing facility discharge management requiring more than 30 minutes.	40	$80	$3.2K
99442	N/A	50	$60	$2.9K
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…	50	$50	$2.1K
G0317	Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary…	110	$20	$1.9K
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…	30	$50	$1.3K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	10	$10	$60

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Toni Keel — 1 of 9 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

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	236	370	160	$70	$25.3K
99310	56	260	80	$110	$18.4K
99308	177	260	80	$50	$9.5K
99316	64	130	40	$90	$4.8K
99497	319	570	30	$60	$4.2K
99442	59	470	20	$50	$2.4K
G0317	20	60	80	$20	$2.3K
99441	6	190	20	$30	$2.2K
93005	442	530	20	$1	$160

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Health Association Of Spokane	WA	Federally Qualified Health Center (FQHC)	$0	$22.5M
Community Health Association Of Spokane	WA	Federally Qualified Health Center (FQHC)	$0	$19.2M
Community Health Association Of Spokane	WA	Federally Qualified Health Center (FQHC)	$0	$18.1M
Community Health Association Of Spokane	WA	Federally Qualified Health Center (FQHC)	$0	$17.4M
Community Health Association Of Spokane	WA	Federally Qualified Health Center (FQHC)	$0	$14.6M
Community Health Association Of Spokane	WA	Federally Qualified Health Center (FQHC)	$0	$10.4M
Human Supports Of Idaho	ID	General Practice Physician	$0	$9.4M
Community Health Association Of Spokane	WA	Federally Qualified Health Center (FQHC)	$0	$8.9M
Daiya Healthcare PLLC	WA	Internal Medicine Physician	$0	$8.7M
Community Health Association Of Spokane	WA	Federally Qualified Health Center (FQHC)	$0	$8.2M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pioneer Human Services	WA	Substance Abuse Rehabilitation Facility	$0	$15.5M
Spokane Treatment And Recovery Services	WA	Addiction (Substance Use Disorder) Counselor	$0	$10.8M
Community Health Association Of Spokane	WA	Federally Qualified Health Center (FQHC)	$0	$8.3M
Revive Counseling Spokane, PLLC	WA	Community/Behavioral Health Agency	$0	$8.2M
Community Health Association Of Spokane	WA	Federally Qualified Health Center (FQHC)	$0	$8.1M
Osp Spokane PLLC	WA	Oral and Maxillofacial Surgery (Dentist)	$0	$7.4M
Acceleration Physical Therapy	WA	Physical Therapist	$0	$3.1M
Ryan Stern	WA	Physical Therapist	$131.4K	$0
Mirko Zugec	WA	Family Medicine Physician	$109.1K	$0
Cory Jensen	WA	Optometrist	$88.5K	$2.9K

Toni Keel — Billing Profile & Reimbursement Data

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Toni Keel — 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