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

Why is the Medicaid comparison limited to South Dakota 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 Dakota (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.

Karen Pearson (NPI 1861480501)

Field	Value
Entity Type	Individual
Organization	Karen Pearson
Address	104 West 2nd Street
City	Alcester
State	SD
ZIP	57001
Taxonomy	Medical Physician Assistant
NPI Enumerated	October 6, 2005

Payer Source	Total Paid
Medicare	$1.4K
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
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	80	$10	$620
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	10	$40	$490
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	30	$10	$300
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	$30

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. South Dakota Distribution

Karen Pearson — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Dakota

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
85025	106	250	70	$10	$1.4K
83036	122	160	70	$10	$1.4K
87428	6	10	20	$50	$1K
81003	90	110	30	$1	$140

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Horizon Health Care, Inc	SD	Federally Qualified Health Center (FQHC)	$0	$9.7M
Horizon Health Care Inc.	SD	Federally Qualified Health Center (FQHC)	$0	$3.3M
Horizon Health Care Inc	SD	Federally Qualified Health Center (FQHC)	$0	$3.2M
Horizon Health Care Inc	SD	Federally Qualified Health Center (FQHC)	$0	$2.3M
Horizon Health Care, Inc	SD	Federally Qualified Health Center (FQHC)	$0	$1.2M
Horizon Health Care Inc	SD	Family Medicine Physician	$0	$1.1M
Horizon Health Care Inc	SD	Federally Qualified Health Center (FQHC)	$0	$915.7K
Horizon Health Care Inc	SD	Federally Qualified Health Center (FQHC)	$0	$705.3K
Horizon Health Care Inc	SD	Federally Qualified Health Center (FQHC)	$0	$507.3K
Horizon Health Care Inc	SD	Federally Qualified Health Center (FQHC)	$0	$437.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Horizon Health Care Inc	SD	Federally Qualified Health Center (FQHC)	$0	$132.4K

Karen Pearson — Billing Profile & Reimbursement Data

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Karen Pearson — 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