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

Why is the Medicaid comparison limited to Kentucky 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. Kentucky (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 Bailey (NPI 1912445651)

Field	Value
Entity Type	Individual
Organization	Nicole Bailey
Address	816 Ireland School Rd
City	Radcliff
State	KY
ZIP	40160
Taxonomy	Psychiatric/Mental Health Nurse Practitioner
NPI Enumerated	February 2, 2017

Payer Source	Total Paid
Medicare	$41K
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
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…	310	$50	$14.6K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	350	$30	$10.8K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	220	$40	$9.5K
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…	100	$50	$5K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	10	$80	$940

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. Kentucky Distribution

Nicole Bailey — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	1,783	1,800	80	$90	$14.1K
99232	1,424	2,860	100	$60	$11.6K
99213	880	7,250	80	$50	$7.7K
90833	10	140	60	$40	$4.2K
99231	34	910	40	$40	$3.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Astra Behavioral Health LLC	KY	Psychiatry Physician	$0	$26.1M
Angie Walker	KY	Clinical Social Worker	$66K	$0
Thomas Kurtz	KY	Clinical Social Worker	$63.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jawed Movania	KY	Internal Medicine Physician	$569.4K	$0
David Criscola	KY	Physical Therapist	$150.9K	$0
Faiz Uddin	KY	Family Medicine Physician	$115.5K	$24.2K
Hariklia Alexatos-wilk	KY	Family Medicine Physician	$70.4K	$0

Nicole Bailey — Billing Profile & Reimbursement Data

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Nicole Bailey — 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