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

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

Carmella Downing (NPI 1861647844)

Field	Value
Entity Type	Individual
Organization	Carmella Downing
Address	1470 Medical Parkway
City	Carson City
State	NV
ZIP	89703
Taxonomy	Medical Physician Assistant
NPI Enumerated	November 18, 2008

Payer Source	Total Paid
Medicare	$76.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 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…	650	$80	$52.4K
99495	The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires at least moderate medical decision making,…	50	$130	$6.2K
93793	The provider reviews and interprets a new INR test result of a patient taking regular doses of warfarin after which he adjusts the dosage if needed, instructs the patient on continued treatment, and…	840	$10	$5.9K
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…	40	$120	$5.1K
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…	80	$60	$4.6K
99442	N/A	40	$40	$1.6K
99407	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than 10 minutes.	10	$20	$320
93000	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…	30	$10	$300

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Nevada Distribution

Carmella Downing — 2 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nevada

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	288	3,610	110	$80	$19K
99215	393	790	40	$120	$12.2K
99213	1,707	3,500	80	$60	$10K
99495	3	110	20	$150	$3.1K
99442	38	120	30	$50	$2.1K
99407	19	20	30	$20	$1.5K
93793	2	40	60	$10	$1.4K
93000	275	530	30	$10	$1.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Carson Tahoe Physician Clinics	NV	Internal Medicine Physician	$0	$2.3M
Randall Nixon	NV	Urology Physician	$386.5K	$0
Nathan Ho	NV	Interventional Cardiology Physician	$267.4K	$0
Jeffrey Turner	NV	Clinical Cardiac Electrophysiology Physician	$236.9K	$0
Nael Aboul-hosn	NV	Cardiovascular Disease Physician	$231.5K	$0
Alban De Schutter	NV	Cardiovascular Disease Physician	$208.4K	$0
Tyler Peterson	NV	Family Medicine Physician	$186.1K	$0
Honeylette Brotonel	NV	Family Medicine Physician	$171.9K	$0
Ross Jenson	NV	Pain Medicine (Anesthesiology) Physician	$160.4K	$0
Jeffrey Upton	NV	Specialist	$155K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Carson Tahoe Regional Healthcare	NV	General Acute Care Hospital	$0	$23.7M
Carson Tahoe Emergency Physicians	NV	Emergency Medicine Physician	$0	$5.2M
Dwarakanath Vuppalapati	NV	Psychiatry Physician	$366.5K	$2.6M
Usacs Integrated Acute Care Services Of Nevada Bagnoli P C	NV	Hospitalist Physician	$0	$2.6M
Ziqiang Wu	NV	Ophthalmology Physician	$1.5M	$0
Carson Endoscopy Center, LLC	NV	Endoscopy Clinic/Center	$829.4K	$295.4K
Physicians' Surgery Center Of Nevada LLC	NV	Ambulatory Surgical Clinic/Center	$723.2K	$232.1K
Gary Campbell	NV	Radiation Oncology Physician	$899.5K	$0
Western Nevada Surgical Center Inc	NV	Ophthalmologic Surgery Clinic/Center	$703.5K	$2.3K
Robert Wolff	NV	Ophthalmology Physician	$627K	$0

Carmella Downing — Billing Profile & Reimbursement Data

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Carmella Downing — 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