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

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

Carey Downey (NPI 1972009728)

Field	Value
Entity Type	Individual
Organization	Carey Downey
Address	445 Centennial Ave
City	Butte
State	MT
ZIP	59701
Taxonomy	Family Medicine Physician
NPI Enumerated	April 2, 2018

Payer Source	Total Paid
Medicare	$1.7K
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
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	100	$10	$930
85610	Prothrombin time is most commonly measured using the blood plasma. Chemicals like calcium and tissue factor are added to the plasma sample and then the time is noted when the plasma clots. To analyze…	100	$1	$400
82044	Office or lab personnel will usually perform a semiquantitative urine albumin or microalbumin by using a reagent strip that is able to detect the analyte without the use of a chemistry analyzer or…	40	$10	$220
81002	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…	20	$1	$70

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. Montana Distribution

Carey Downey — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
83036	30	190	30	$10	$760
85610	23	50	100	$1	$540
82044	2	10	20	$10	$140
81002	38	70	30	$1	$120

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Amber Dayhuff	MT	Psychiatric/Mental Health Nurse Practitioner	$0	$208.1K
Nathaniel Readal	MT	Urology Physician	$193.3K	$0
Daniel Downey	MT	Orthopaedic Surgery Physician	$65.1K	$0
Megan Evans	MT	Family Medicine Physician	$20.3K	$0
Harold Bruce	MT	Nurse Practitioner	$2.9K	$0
Serena Brewer	MT	Family Medicine Physician	$1.2K	$0
Kathryn Isakson	MT	Physician Assistant	$930	$0
Kathleen Russell	MT	Nurse Practitioner	$820	$0
Kara Howard	MT	Family Nurse Practitioner	$710	$0
Rebecca Romine	MT	Family Nurse Practitioner	$470	$0

Carey Downey — Billing Profile & Reimbursement Data

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Carey Downey — 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

Frequently Asked Questions

References