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

Why is the Medicaid comparison limited to Ohio 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. Ohio (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 Carrol (NPI 1952475576)

Field	Value
Entity Type	Individual
Organization	Anne Carrol
Address	36000 Euclid Ave
City	Willoughby
State	OH
ZIP	44094
Taxonomy	Emergency Medicine Physician
NPI Enumerated	November 17, 2006

Payer Source	Total Paid
Medicare	$21.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 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…	150	$50	$7.7K
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…	90	$60	$5.3K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	60	$60	$3.3K
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…	30	$80	$2.1K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	20	$90	$1.8K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	40	$30	$1.3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Ohio Distribution

Anne Carrol — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	16,620	20,010	100	$70	$11.7K
99232	3,483	8,050	70	$60	$8.7K
99213	4,987	20,000	70	$50	$6.6K
99239	2,161	2,740	50	$90	$6.2K
99283	79	1,410	20	$50	$1.4K
99282	2	80	10	$30	$480

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Raymond Wawrowski	OH	Physician Assistant	$4.7M	$0
Jonathan Wiesen	VA	Internal Medicine Physician	$2.4M	$0
Mohammad Asad	IL	Hematology & Oncology Physician	$1.6M	$93.6K
Akif Mohammed	TX	Interventional Cardiology Physician	$645.2K	$0
Keith Robinson	VA	Dermatology Physician	$551.8K	$71.2K
Julius Elmore	GA	Cardiovascular Disease Physician	$559.9K	$0
David Theis	CO	Rheumatology Physician	$545.2K	$0
Andrew Koogler	WA	Pain Medicine (Anesthesiology) Physician	$491.4K	$0
John Johnson	MA	Allergy & Immunology Physician	$424.5K	$0
Agustus Beck	OH	Internal Medicine Physician	$392.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lake Hospital System Inc	OH	General Acute Care Hospital	$0	$56.5M
Signature Health, Inc	OH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$47.9M
Signature Health Inc.	OH	Federally Qualified Health Center (FQHC)	$0	$41.8M
Signature Health, Inc	OH	Mental Health Counselor	$0	$13.5M
City Of Willoughby	OH	Ambulance	$256.9K	$658K
Syed Ashraf	OH	Internal Medicine Physician	$275.1K	$0
Jamal Azem	OH	Nephrology Physician	$256.1K	$230
Victor Bello	OH	Ophthalmology Physician	$199.8K	$0
Ohio Cvs Stores LLC	OH	Pharmacy	$187.5K	$0
Melissa Reigle	OH	Urology Physician	$179.9K	$0

Anne Carrol — Billing Profile & Reimbursement Data

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Anne Carrol — 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