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

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

Nicole Ernst (NPI 1891963179)

Field	Value
Entity Type	Individual
Organization	Nicole Ernst
Address	555 Washington Highway
City	Morrisville
State	VT
ZIP	05661
Taxonomy	Surgical Physician Assistant
NPI Enumerated	February 20, 2008

Payer Source	Total Paid
Medicare	$11.5K
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
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	60	$40	$2.8K
23472	In this procedure, the provider performs a total shoulder arthroplasty in which the provider replaces the damaged head of the humerus and the glenoid cavity with prosthetic implants. The provider…	20	$150	$2.4K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	70	$30	$2.3K
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…	30	$60	$1.8K
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…	20	$70	$1.1K
23430	In this procedure, the provider surgically cleans the long tendon of the biceps from its damaged fragment and fixes the tendon to the upper end of the humerus to improve the stability of the joint.…	10	$40	$480
J1040	Injection, methylprednisolone acetate, 80 mg	50	$10	$440

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. Vermont Distribution

Nicole Ernst — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Vermont

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
23472	5	10	20	$810	$18.7K
99213	716	910	80	$50	$6.7K
23430	3	10	10	$250	$4.9K
20610	36	80	60	$30	$3K
99203	247	310	30	$60	$2.7K
99212	45	250	30	$30	$1.5K
J1040	3	10	70	$10	$770

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
North Country Hospital & Health Center Inc	VT	Internal Medicine Physician	$0	$3.2M
North Country Hospital & Health Center Inc	VT	Critical Access Hospital	$0	$1.5M
Jonathan Breslau	MN	Diagnostic Radiology Physician	$1.3M	$0
North Country Hospital & Health Center Inc	VT	Rural Health Clinic/Center	$0	$1M
Neil Anand	MN	Diagnostic Radiology Physician	$529.9K	$58.1K
Copley Hospital, Inc.	VT	Critical Access Hospital	$0	$525.5K
North Country Hospital & Health Center Inc	VT	Obstetrics & Gynecology Physician	$0	$504K
Nzeadibenma Uzochukwu	IL	Diagnostic Radiology Physician	$84K	$360.8K
Jill Wruble	MN	Diagnostic Radiology Physician	$387K	$0
Alice Drown	VT	Mental Health Counselor	$0	$350K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lamoille County Health Mental Health Services	VT	Community/Behavioral Health Agency	$0	$42.7M
Green Mountain Support Services Inc.	VT	Case Manager/Care Coordinator	$0	$25.9M
Lamoille County Mental Health Services	VT	Community/Behavioral Health Agency	$0	$22.2M
Lamoille Health Partners, Inc	VT	Cognitive & Behavioral Psychologist	$0	$10.5M
Lamoille Health Partners, Inc	VT	Federally Qualified Health Center (FQHC)	$0	$5.4M
Lamoille Family Center Inc	VT	Public Health or Welfare Agency	$0	$5.2M
Lamoille Health Partners, Inc	VT	Pediatrics Physician	$0	$4.6M
Lamoille Health Partners, Inc	VT	Dentist	$0	$1.7M
Maple Leaf Family Dentistry	VT	General Practice Dentistry	$0	$1.2M
Tamarack Family Medicine	VT	Clinic/Center	$0	$1.1M

Nicole Ernst — Billing Profile & Reimbursement Data

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Nicole Ernst — 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