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

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

Katy Poole (NPI 1861932113)

Field	Value
Entity Type	Individual
Organization	Katy Poole
Address	1436 Chattanooga Ave
City	Dalton
State	GA
ZIP	30720
Taxonomy	Family Nurse Practitioner
NPI Enumerated	March 6, 2017

Payer Source	Total Paid
Medicare	$27.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	240	$50	$11.9K
99204	The provider sees a new 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 provider…	60	$100	$5.8K
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…	60	$80	$4.4K
99203	The provider sees a new 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 provider…	60	$60	$3.7K
31575	The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.	20	$80	$1.3K
69210	The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.	10	$20	$280
92542	The provider uses electronystagmography or infrared videonystagmography electrodes to measure and record the rapid movements of the eyeball when the patient changes the position of the head.	10	$20	$200

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Georgia Distribution

Katy Poole — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	9,465	13,640	120	$80	$17.8K
99213	2,666	13,360	80	$60	$9.2K
99204	1,828	7,260	30	$110	$5.1K
31575	251	280	50	$90	$4.9K
99203	1,275	5,350	30	$70	$3.3K
69210	294	340	40	$30	$2.1K
92542	10	10	20	$20	$1.9K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dalton Ear Nose & Throat Associates	GA	Otolaryngology Physician	$0	$4M
Sean Coleman	GA	Allergy & Immunology Physician	$67.2K	$0
Stephen Ryals	GA	Allergy & Immunology Physician	$56.5K	$0
David Dinges	GA	Allergy & Immunology Physician	$54.9K	$0
Alyssa Garner	GA	Family Nurse Practitioner	$36.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Highland Rivers Community Service Board	GA	Community/Behavioral Health Agency	$0	$44.1M
White's Pediatrics	GA	Pediatrics Physician	$0	$25.1M
Family And Children First LLC	GA	Community/Behavioral Health Agency	$0	$19.5M
Hamilton Physician Group Inc	GA	Cardiovascular Disease Physician	$0	$5.9M
Pediatrics Of Dalton, PA	GA	Specialist	$0	$5.5M
Skin Cancer & Cosmetic Dermatology Center, PC	GA	Dermatology Physician	$0	$3.4M
John Chung	GA	MOHS-Micrographic Surgery Physician	$2.5M	$0
Hamilton Emergency Medical Services	GA	Land Ambulance	$1.2M	$0
Hosam Saad-naguib	GA	Hematology & Oncology Physician	$1M	$0
Professional Eye Associates, Inc.	GA	Ambulatory Surgical Clinic/Center	$698.9K	$0

Katy Poole — Billing Profile & Reimbursement Data

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Katy Poole — 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