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

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

Margaret Kinsella (NPI 1962523084)

Field	Value
Entity Type	Individual
Organization	Margaret Kinsella
Address	470 Birchwood Ave
City	Bellingham
State	WA
ZIP	98225
Taxonomy	Rheumatology Physician
NPI Enumerated	April 3, 2007

Payer Source	Total Paid
Medicare	$875.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J3262	Injection, tocilizumab, 1 mg	40,780	$10	$203.9K
J1745	Injection, infliximab, excludes biosimilar, 10 mg	7,060	$30	$183.4K
J0129	Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	4,650	$30	$158.1K
J0717	Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	30,400	$1	$121.6K
Q5104	Injection, infliximab-abda, biosimilar, (renflexis), 10 mg	3,140	$30	$106.8K
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…	180	$140	$24.8K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	220	$110	$23.9K
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…	240	$90	$22.1K
J0897	Injection, denosumab, 1 mg	1,080	$20	$19.4K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	160	$50	$8.4K

Showing 1–10 of 17

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Margaret Kinsella — 1 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

17 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0129	13	20	5,280	$30	$208.7K
J0717	3	10	38,800	$1	$140.5K
J3262	4	20	31,800	$1	$129.3K
J1745	6	50	3,630	$30	$111.5K
Q5104	3	10	1,680	$30	$71.2K
J0897	122	150	1,800	$20	$57.9K
96413	30	160	80	$110	$15K
99214	2,222	10,860	100	$80	$13.6K
99215	328	4,320	40	$120	$8.4K
90694	1,258	1,300	30	$70	$6.6K

Showing 1–10 of 17

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Peacehealth	WA	Rural Acute Care Hospital	$0	$47.1M
Unity Care Northwest	WA	Federally Qualified Health Center (FQHC)	$0	$33.7M
Peacehealth	WA	Internal Medicine Physician	$0	$26.1M
Whatcom Medic One	WA	Land Ambulance	$894.1K	$20.7M
Unity Care Northwest	WA	Federally Qualified Health Center (FQHC)	$0	$20.1M
Northwest Pathology PLLC	WA	Anatomic Pathology & Clinical Pathology Physician	$860.5K	$17.8M
Northwest Regional Council	WA	Transportation Broker	$0	$11.4M
Lake Whatcom Residential & Treatment Center	WA	Community/Behavioral Health Agency	$0	$10.3M
Total Renal Care, Inc.	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$5.9M
Catholic Community Services Of Western Washington	WA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$5.8M

Margaret Kinsella — Billing Profile & Reimbursement Data

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Margaret Kinsella — 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