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

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

Karen Plunkett (NPI 1902919756)

Field	Value
Entity Type	Individual
Organization	Karen Plunkett
Address	1300 Sunset Dr Ste O
City	Grenada
State	MS
ZIP	38901
Taxonomy	Specialist
NPI Enumerated	August 16, 2006

Payer Source	Total Paid
Medicare	$76K
Medicaid	$0

Medicare: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	330	$80	$26.6K
95886	The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…	170	$70	$10.9K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	60	$160	$9.8K
95911	In this procedure, the provider performs nine or ten nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of…	50	$150	$8.1K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	50	$130	$5.7K
95910	In this procedure, the provider performs seven or eight nerve conduction studies, a diagnostic test to evaluate the function, especially the electrical conduction ability of the motor and sensory…	30	$120	$3.3K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	60	$60	$3.2K
95912	In this procedure, the provider performs eleven or twelve nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory…	20	$180	$2.8K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	50	$50	$2.5K
95819	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	50	$40	$2.1K

Showing 1–10 of 11

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Mississippi Distribution

Karen Plunkett — 0 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Mississippi

Full comparison — all codes billed, vs. state median

11 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,178	4,110	170	$70	$21.9K
99232	996	1,490	100	$60	$12.9K
95886	19	40	140	$60	$12.6K
99223	647	1,220	50	$120	$10.4K
99213	3,671	4,000	100	$50	$10.3K
95911	11	30	30	$140	$10K
95912	13	20	30	$150	$7.1K
99205	89	430	30	$140	$6.1K
95910	11	20	30	$110	$5.7K
95819	3	20	30	$90	$3.2K

Showing 1–10 of 11

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
State Of Mississippi-university Of Mississippi Medical Center	MS	General Acute Care Hospital	$0	$17.8M
State Of Mississippi-university Of Mississippi Medical Center	MS	Rural Health Clinic/Center	$0	$4.9M
Cmhp Enterprises	MS	Pediatric Dentistry	$0	$3.6M
Rcg Mississippi, Inc.	MS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.7M
Grancare, LLC	MS	Adult Day Care Clinic/Center	$0	$2.4M
State Of Mississippi-university Of Mississippi Medical Center	MS	Family Medicine Physician	$0	$2M
State Of Mississippi-university Of Mississippi Medical Center	MS	Rural Health Clinic/Center	$0	$1.7M
Grenada Emergency Group, LLC	MS	Emergency Medicine Physician	$0	$1.6M
20-20 Eyecare Of Grenada PA	MS	Optometrist	$0	$1.5M
Providence Pcc Of Grenada, LLC	MS	Assisted Living Facility	$0	$1.5M

Karen Plunkett — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References