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

Why is the Medicaid comparison limited to Rhode Island 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. Rhode Island (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.

Meredith Horton (NPI 1851950737)

Field	Value
Entity Type	Individual
Organization	Meredith Horton
Address	593 Eddy St
City	Providence
State	RI
ZIP	02903
Taxonomy	Emergency Medicine Physician
NPI Enumerated	June 13, 2019

Payer Source	Total Paid
Medicare	$79.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	460	$140	$64.5K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	120	$90	$11.1K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	20	$170	$3.4K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	20	$60	$1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Rhode Island Distribution

Meredith Horton — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Rhode Island

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	10	280	130	$140	$21.2K
99291	226	300	40	$170	$10.3K
99284	39	310	60	$90	$6.2K
99283	95	160	20	$50	$1.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Urgi Center Medical Group	MA	Urgent Care Clinic/Center	$0	$5.8M
Kathleen Kerrigan	MA	Emergency Medicine Physician	$171.3K	$80.5K
Shant Broukian	MA	Emergency Medicine Physician	$230.5K	$0
Margaret Putnam	MA	Nurse Practitioner	$207K	$3.7K
Oliver Berrett	MD	Emergency Medicine Physician	$187.9K	$3.4K
Craig Cornwall	MA	Emergency Medicine Physician	$183.2K	$960
Kinsey Leonard	MA	Emergency Medicine Physician	$174.6K	$1.6K
Jacob Crowell	ME	Emergency Medicine Physician	$168.8K	$0
Jonathan Farrell	RI	Emergency Medicine Physician	$166.6K	$0
Jason Kahn	NY	Emergency Medicine Physician	$165.4K	$0

Meredith Horton — Billing Profile & Reimbursement Data

Sign up for Meredith Horton — Billing Profile & Reimbursement Data policy alerts

Meredith Horton — Billing Profile & Reimbursement Data

Sign up for Meredith Horton — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References