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

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

Michelle Allen (NPI 1902907561)

Field	Value
Entity Type	Individual
Organization	Michelle Allen
Address	100 Medical Dr
City	Hannibal
State	MO
ZIP	63401
Taxonomy	Women's Health Nurse Practitioner
NPI Enumerated	September 26, 2006

Payer Source	Total Paid
Medicare	$9.1K
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
G0101	Cervical or vaginal cancer screening; pelvic and clinical breast examination	90	$30	$2.9K
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…	90	$30	$2.8K
77080	The provider performs an imaging procedure, called dual–energy X–ray absorptiometry (DXA), of one or more bony areas on the trunk to determine the bone mineral density (BMD) and whether the patient…	80	$30	$1.9K
57150	In this procedure, the provider washes out the vaginal canal and may also instill medication when the patient has a bacterial, fungal, or parasitic disease.	30	$30	$750
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	10	$30	$400
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,…	10	$20	$250
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	10	$10	$90
81001	Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…	20	$1	$60

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. Missouri Distribution

Michelle Allen — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	3,506	8,730	70	$50	$7K
77080	213	470	70	$20	$2.8K
99212	1,745	1,930	30	$30	$2K
36415	1,554	1,570	110	$10	$1.9K
G0101	22	350	30	$40	$1.4K
Q0091	143	180	20	$40	$1.2K
57150	1	10	30	$30	$760
81001	221	280	50	$1	$560

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Raymond Smith	IL	Hematology & Oncology Physician	$1.5M	$54.4K
Muhammad Ali	IL	Hematology & Oncology Physician	$1.2M	$64.9K
Humam Farah	MO	Critical Care Medicine (Internal Medicine) Physician	$624.9K	$2.3K
Arif Bari	MO	Hematology & Oncology Physician	$586.4K	$0
Mian Rizwan	AZ	Rheumatology Physician	$107.5K	$295.5K
Rodney Yager	MO	Family Medicine Physician	$278.6K	$88.8K
Prashanth Podaralla	MO	Nephrology Physician	$261.6K	$0
Imtiaz Ismail	TX	Interventional Cardiology Physician	$254.6K	$0
John Hammock	IL	Clinical Cardiac Electrophysiology Physician	$189.5K	$64.3K
Lawrence Ciesemier	MO	Allergy & Immunology (Internal Medicine) Physician	$175.6K	$2.9K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mark Twain Association For Mental Health, Inc	MO	Community/Behavioral Health Agency	$0	$153.3M
Boone Supported Living, LLC	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$46.5M
Northeast Independent Living Services	MO	Personal Care Attendant	$0	$21.2M
Riney-walden Inc	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$14.6M
Hannibal Regional Healthcare System, Inc	MO	Rural Acute Care Hospital	$0	$14.5M
State Of Missouri	MO	Developmentally Disabled Services Day Training Agency	$0	$14.4M
Marion County Services For The Developmentally Disabled	MO	Case Management Agency	$0	$6.9M
Marion County Services, Inc.	MO	Developmentally Disabled Services Day Training Agency	$0	$6.4M
Marion County Ambulance	MO	Land Ambulance	$715.4K	$4.4M
Skills Development, Inc.	MO	Developmentally Disabled Services Day Training Agency	$0	$4.3M

Michelle Allen — Billing Profile & Reimbursement Data

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Michelle Allen — 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