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

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

Mary Dalzell (NPI 1942552658)

Field	Value
Entity Type	Individual
Organization	Mary Dalzell
Address	420 E Division St
City	Fond Du Lac
State	WI
ZIP	54935
Taxonomy	Adult Health Nurse Practitioner
NPI Enumerated	October 4, 2012

Payer Source	Total Paid
Medicare	$21.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 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…	220	$50	$10.8K
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…	80	$70	$5.9K
99215	The provider sees an established 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…	30	$100	$3K
93264	The provider, a physician or other qualified healthcare professional, reviews at least weekly downloads of remote monitoring reports for a wireless pulmonary artery pressure sensor, interprets the…	50	$30	$1.5K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wisconsin Distribution

Mary Dalzell — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	4,736	9,800	80	$70	$9.2K
99215	1,738	3,320	30	$110	$6.3K
99213	758	9,380	60	$50	$4.7K
93264	8	10	90	$20	$2.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Agnesian Healthcare, Inc	WI	General Acute Care Hospital	$0	$17.8M
Agnesian Healthcare, Inc	WI	Community Based Hospice Care Agency	$0	$8.8M
Agnesian Healthcare Inc	WI	Family Medicine Physician	$0	$7.4M
Waupun Memorial Hospital	WI	Critical Access Hospital	$0	$6.9M
The Monroe Clinic, Inc.	WI	General Acute Care Hospital	$0	$6.3M
Ripon Medical Center Inc	WI	Critical Access Hospital	$0	$4.3M
Sylvia Trevino	IL	Pediatrics Physician	$0	$2.9M
Sameer Gupta	PA	Hematology & Oncology Physician	$2.9M	$0
Agnesian Healthcare Inc	WI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.3M
Waupun Memorial Hospital	WI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.2M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Consultants Laboratory Of Wisconsin, LLC	WI	Clinical Medical Laboratory	$1.2M	$4.6M
Fond Du Lac County Dcp Case Management	WI	Case Management Agency	$0	$5.8M
Premier Care Of Wisconsin, LLC.	WI	Methadone Clinic	$0	$4.8M
Fond Du Lac Co Dcp Ccs Program	WI	Community/Behavioral Health Agency	$0	$4.3M
Fond Du Lac School District	WI	Local Education Agency (LEA)	$0	$2.5M
Agnesian Healthcare Enterprises LLC	WI	Durable Medical Equipment & Medical Supplies	$0	$2.2M
City Of Fond Du Lac	WI	Land Ambulance	$325.7K	$1.5M
The Arc Of Fond Du Lac	WI	Speech-Language Pathologist	$0	$1.8M
Blandine House Inc	WI	Substance Abuse Rehabilitation Facility	$0	$1.3M
Burt Steffes	WI	Dermatology Physician	$173.4K	$0

Mary Dalzell — Billing Profile & Reimbursement Data

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Mary Dalzell — 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