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.

Clayton Kersting (NPI 1962594234)

Field	Value
Entity Type	Individual
Organization	Clayton Kersting
Address	714 W Pine St
City	Newport
State	WA
ZIP	99156
Taxonomy	Family Medicine Physician
NPI Enumerated	September 28, 2006

Payer Source	Total Paid
Medicare	$19.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 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…	200	$50	$10.6K
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…	60	$70	$4.1K
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,…	70	$30	$2.3K
91320	This code represents a SARS–CoV–2 vaccine product (tris–sucrose formulation) administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 30 mcg/0.3 mL.	10	$100	$1.3K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	80	$10	$660
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	40	$10	$500
81050	The lab analyst measures and records the volume of the urine collected during a timed collection.	10	$1	$40

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Clayton Kersting — 0 of 7 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

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
91320	578	640	70	$130	$14.2K
99214	6,962	10,860	100	$80	$13.6K
99213	1,423	9,690	60	$60	$6.5K
36415	823	1,920	60	$10	$3.5K
99212	318	1,790	30	$40	$1.8K
99211	262	550	40	$20	$940
81050	3	10	30	$1	$120

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kalispel Indian Community Of The Kalispel Reservation Washington	WA	General Practice Physician	$0	$6.4M
Kalispel Tribe-camas Institute	WA	Community/Behavioral Health Agency	$0	$6M
Thomasin Hammer	WA	Podiatrist	$112.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pend Oreille County Public Hospital District No 1	WA	Critical Access Hospital	$0	$11.6M
Pend Oreille County Public Hospital District No 1	WA	Rural Health Clinic/Center	$0	$10.6M

Clayton Kersting — Billing Profile & Reimbursement Data

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Clayton Kersting — 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