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

Why is the Medicaid comparison limited to New York 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. New York (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.

Gabrielle Herard (NPI 1922500354)

Field	Value
Entity Type	Individual
Organization	Gabrielle Herard
Address	160 Middle Rd
City	Sayville
State	NY
ZIP	11782
Taxonomy	Family Nurse Practitioner
NPI Enumerated	March 1, 2018

Payer Source	Total Paid
Medicare	$46.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
76942	Ultrasonography uses sound waves of higher frequencies (above the normal hearing capacity of a healthy human, i.e., 20 kHz) to visualize inner organs. When the sound waves pass through the human…	310	$50	$14.4K
20552	Trigger point injection, or TPI, is a medical procedure that involves injecting an anesthetic or corticosteroid substance to relieve a trigger point, which is a painful area or knot in a muscle.	200	$40	$8.6K
98925	The provider performs controlled manual pressure in one or two body regions to treat somatic and nonsomatic disorders.	250	$20	$6.1K
95851	In this procedure, the provider measures the range of motion of a single section of spine or a single extremity, excluding the hand. Range of motion measurement tests how much movement exists at a…	350	$20	$5.7K
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…	40	$70	$2.9K
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…	30	$90	$2.6K
20553	Trigger point injection, or TPI, is a medical procedure in which the provider injects an anesthetic or corticosteroid substance into three or more muscles to relieve painful areas or knots in muscles…	50	$50	$2.5K
76881	In this procedure, the provider uses ultrasound to examine the complete joint for any defect or abnormality. The image appears in real time on a monitor, and a permanent image with interpretation is…	40	$40	$1.6K
98926	The provider performs controlled manual pressure in three to four body regions to treat somatic and nonsomatic disorders.	40	$30	$1.4K
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,…	10	$50	$590

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New York Distribution

Gabrielle Herard — 1 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. state median

10 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	21,947	31,440	80	$70	$12.1K
95851	5	10	340	$20	$5K
98926	32	50	60	$40	$4.7K
99203	6,238	11,360	30	$90	$4.7K
20553	183	370	50	$50	$4.4K
98925	10	40	120	$30	$4K
76881	69	130	50	$40	$3.9K
99212	7,119	7,850	30	$40	$3.6K
20552	19	260	30	$40	$2.7K
76942	20	810	30	$40	$2.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Ambulance Company, Inc.	NY	Land Ambulance	$701.6K	$535.8K
Melanie Lentini	NY	Family Nurse Practitioner	$45.3K	$0

Gabrielle Herard — Billing Profile & Reimbursement Data

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Gabrielle Herard — 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