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

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

Kelli Gagne (NPI 1861775264)

Field	Value
Entity Type	Individual
Organization	Kelli Gagne
Address	331 E Main St Ste 200
City	Rock Hill
State	SC
ZIP	29730
Taxonomy	Psychiatric/Mental Health Nurse Practitioner
NPI Enumerated	September 21, 2011

Payer Source	Total Paid
Medicare	$320.8K
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
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	1,350	$80	$108.9K
99350	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…	580	$120	$69.5K
99483	The provider performs a thorough assessment of a cognitively impaired patient’s understanding, comprehension, memory, and reasoning; obtains a history; reviews the patient’s medication lists and…	370	$170	$63.6K
99348	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…	760	$50	$36.7K
99345	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends at least 75…	250	$130	$31.7K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	90	$40	$4K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	30	$120	$3.4K
99442	N/A	40	$30	$1.2K
99441	N/A	30	$20	$680

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. South Carolina Distribution

Kelli Gagne — 5 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Carolina

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99349	21	530	240	$80	$30.4K
99306	120	160	60	$130	$15K
99483	1	30	30	$170	$10.7K
99350	5	210	40	$120	$9.9K
90833	67	120	100	$40	$7.3K
99345	1	80	30	$130	$4.8K
99348	4	320	40	$50	$4.1K
99442	45	170	20	$50	$2.3K
99441	24	110	20	$30	$1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Connecticut Mental Health Specialists Inc	CT	Psychiatry Physician	$0	$1.1M
Debbre Oberman	CT	Clinical Social Worker	$46.5K	$252.2K
Martin Cooper	CT	Geriatric Psychiatry Physician	$283.7K	$0
Rana Singh	CT	Psychiatry Physician	$192.9K	$0
Nora Frempong	CT	Physician Assistant	$162.4K	$0
Seth Banever	CT	Psychiatry Physician	$152.9K	$0
Jorge Aguilar-zanatta	CT	Psychiatry Physician	$151K	$0
Constantino Papadopoulos	CT	Physician Assistant	$150.9K	$0
Rebecca Strubbe	CT	Medical Physician Assistant	$125.1K	$0
Annie Morosky	CT	Psychiatric/Mental Health Nurse Practitioner	$121.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
South Carolina Dept Of Mental Health Accounting Office	SC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$30.2M
Community Medicine Foundation	SC	Federally Qualified Health Center (FQHC)	$0	$11.3M
Dental Access Carolina, LLC	SC	General Practice Dentistry	$0	$10.9M
Bayada Home Health Care, Inc.	SC	Home Health Agency	$0	$6.1M
Rock Hill Treatment Specialists, Inc	SC	Methadone Clinic	$90K	$5.3M
Affinity Health Center	SC	Federally Qualified Health Center (FQHC)	$0	$4.8M
Carolina Pediatric Therapy	SC	Physical Therapist	$0	$4.8M
Rock Hill School District Three	SC	Local Education Agency (LEA)	$0	$3.2M
York County Adult Day Care Services, Inc.	SC	Adult Day Care Clinic/Center	$0	$3M
Providence Care LLC	SC	Community Based Hospice Care Agency	$0	$2M

Kelli Gagne — 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