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

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

Heather Nissley (NPI 1881889095)

Field	Value
Entity Type	Individual
Organization	Heather Nissley
Address	1400 Blackhorse Hill Rd
City	Coatesville
State	PA
ZIP	19320
Taxonomy	Clinical Neuropsychologist
NPI Enumerated	September 11, 2007

Payer Source	Total Paid
Medicare	$48K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
96133	The provider, a physician or other qualified healthcare professional, administers neuropsychological tests, face–to–face with the patient. Report this code in addition to the primary code (96132) for…	210	$80	$15.4K
96132	The provider, a physician or other qualified healthcare professional, spends up to one hour administering neuropsychological tests, which includes time spent face–to–face with the patient in…	120	$90	$10.6K
96139	A technician administers two or more psychological or neuropsychological tests and scores them requiring an additional 30 minutes beyond the initial 30 minutes.	400	$30	$10.4K
96116	A physician or other qualified healthcare professional performs a face–to–face assessment of a patient’s thinking, reasoning, and judgment. Report this code for the first hour of face–to–face…	120	$70	$8.6K
96138	A technician administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of administration and scoring by any method.	110	$30	$2.9K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Pennsylvania Distribution

Heather Nissley — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
96133	15	100	100	$70	$10.4K
96132	15	140	40	$90	$5.7K
96139	3	50	130	$30	$4.2K
96116	4	60	40	$70	$3.7K
96138	16	90	30	$20	$2.9K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ohiohealth Corporation	OH	Family Medicine Physician	$0	$89.1M
Pinnacle Health Medical Services	PA	Family Medicine Physician	$0	$14.1M
Enrico Giangeruso	VA	Anatomic Pathology & Clinical Pathology Physician	$1.4M	$0
Susan Lee	NJ	Internal Medicine Physician	$769K	$0
Daniel Kim	PA	Orthopaedic Surgery Physician	$451K	$2.2K
Henry Venbrux	PA	Anatomic Pathology & Clinical Pathology Physician	$416.5K	$18.3K
Kelly Caruso	PA	Family Medicine Physician	$29.2K	$390.6K
John Ellsworth	UT	Urology Physician	$398.1K	$0
Adam Buerk	PA	Orthopaedic Surgery Physician	$368.8K	$19.3K
Curtis Goltz	PA	Orthopaedic Surgery Physician	$346K	$11.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lauren's House, LLC	PA	Medically Fragile Infants and Children Day Care	$0	$13.3M
Advanced Treatment Systems, LLC	PA	Methadone Clinic	$201.1K	$7.1M
Kevin Deangelis	PA	Foot & Ankle Surgery Podiatrist	$269.8K	$0
Raida Rabah	PA	Infectious Disease Physician	$257.2K	$0
Alpa Vadher	PA	Family Medicine Physician	$144.1K	$0
Benjamin Green	PA	Foot & Ankle Surgery Podiatrist	$122.6K	$0
James Judge	PA	Ophthalmology Physician	$99.5K	$0
Frederic Meyers	PA	Gastroenterology Physician	$96.7K	$0
Monica Stanley	PA	Vascular & Interventional Radiology Physician	$85.8K	$0

Heather Nissley — Billing Profile & Reimbursement Data

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Heather Nissley — 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