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

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

Megan Raffle (NPI 1952918492)

Field	Value
Entity Type	Individual
Organization	Megan Raffle
Address	6870 W 52nd Ave Ste 207
City	Arvada
State	CO
ZIP	80002
Taxonomy	Audiologist
NPI Enumerated	September 29, 2020

Payer Source	Total Paid
Medicare	$7.9K
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
92557	The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…	100	$30	$2.8K
92567	In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss.	150	$10	$1.8K
92556	The provider measures a patient’s ability to recognize familiar words and repeat them to diagnose hearing disorders.	50	$30	$1.5K
92552	The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the lowest threshold at which the patient can hear.	50	$30	$1.2K
92542	The provider uses electronystagmography or infrared videonystagmography electrodes to measure and record the rapid movements of the eyeball when the patient changes the position of the head.	20	$20	$410
92541	The provider uses electronystagmography electrodes or infrared videonystagmography to measure and record the rapid movements of the eyeball while keeping the position of the head static.	20	$20	$360

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. Colorado Distribution

Megan Raffle — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92557	76	210	60	$30	$2.6K
92556	17	40	30	$30	$1.9K
92552	19	60	30	$30	$1.4K
92567	33	180	60	$10	$980
92542	2	10	20	$20	$430
92541	2	10	20	$20	$420

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
American Medical Response Of Colorado Inc	CO	Ambulance	$41.9K	$8.7M
Lark Home Care Inc.	CO	In Home Supportive Care Agency	$0	$8.3M
Rocky Mountain Homecare, Inc.	CO	Durable Medical Equipment & Medical Supplies	$0	$6.7M
Colorado Urgent Care PLLC	CO	Urgent Care Clinic/Center	$0	$5.6M
Parker Personal Care Homes, Inc.	CO	Developmentally Disabled Services Day Training Agency	$0	$4.7M
Developmental Disabilities Resource Center	CO	Developmentally Disabled Services Day Training Agency	$0	$4.2M
American Medical Response Of Colorado Inc	CO	Land Ambulance	$486.8K	$728.4K
Daniel Schaffer	CO	Anatomic Pathology & Clinical Pathology Physician	$89.8K	$28.1K
Michael Gailey	CO	Anatomic Pathology & Clinical Pathology Physician	$65K	$0
Costco Wholesale Corporation	CO	Community/Retail Pharmacy	$63.5K	$0

Megan Raffle — Billing Profile & Reimbursement Data

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Megan Raffle — 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