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

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

Anne Dougherty (NPI 1912925470)

Anne Dougherty is a cardiovascular disease physician provider located in Houston, Texas. This profile covers 11 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Provider details (source: NPPES NPI Registry)

Medicare: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Anne Dougherty
Address	6410 Fannin St
City	Houston
State	TX
ZIP	77030
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	July 17, 2006

Payer Source	Total Paid
Medicare	$24.5K
Medicaid	$0

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…	150	$90	$13.1K
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…	50	$70	$3.3K
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	220	$10	$2.4K
93272	In this service, the provider monitors the patient’s heart rhythm while experiencing cardiac symptoms. He places electrocardiogram (ECG) leads of an event recorder on the patient's chest, which can…	60	$20	$1.1K
93288	In this service, the provider performs a face–to–face evaluation and then optimally adjusts the parameters of an already implanted single, dual, multiple lead, or leadless pacemaker system after…	20	$40	$950
93280	In this service, the provider performs a face to face evaluation and then optimally adjusts the existing parameters of an already implanted dual lead pacemaker system. He changes various operating…	20	$60	$920
93289	In this service, the provider performs a face–to–face evaluation and then optimally adjusts the existing parameters of an already implanted single, dual, or multiple lead defibrillator system. He…	20	$50	$900
93227	In this procedure, the provider reviews and interprets the data from an external electrocardiographic, or ECG recorder, worn by a patient for 48 hours to detect abnormal heart rates and rhythms. He…	60	$10	$810
93228	In this procedure, the provider reviews and interprets data collected from the continuous recording and transmission of electrocardiographic data to detect abnormal heart rates and rhythms. He…	20	$20	$480
93244	After a patient has worn an electrocardiographic, or ECG recorder, for more than 48 hours, up to seven days, to detect abnormal heart rates and rhythm, the provider completes a review and…	20	$20	$320

Showing 1–10 of 11

Anne Dougherty — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	13,348	32,500	110	$80	$17.6K
99213	18,806	29,790	70	$60	$8.4K
93280	539	570	50	$40	$4K
93000	1,037	4,790	50	$10	$1.6K
93289	62	80	30	$40	$1.4K
93288	145	220	30	$30	$1.3K
93228	242	450	30	$20	$680
93244	206	330	20	$20	$590
93248	247	330	20	$20	$590
93272	6	70	20	$20	$480