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

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

Mary Moore (NPI 1972598753)

Field	Value
Entity Type	Individual
Organization	Mary Moore
Address	3801 Decorah Rd
City	West Bend
State	WI
ZIP	53095
Taxonomy	Family Nurse Practitioner
NPI Enumerated	September 16, 2005

Payer Source	Total Paid
Medicare	$19.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	140	$30	$4.6K
99348	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…	120	$30	$3.6K
99347	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves straightforward medical decision making or the provider spends at…	210	$10	$2.9K
99439	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	80	$30	$2.4K
99496	The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…	10	$140	$2K
99345	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends at least 75…	20	$100	$1.5K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	20	$50	$1.1K
99344	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider spends at least…	10	$50	$650
G0180	Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review…	10	$20	$270

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wisconsin Distribution

Mary Moore — 0 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99349	171	190	80	$80	$15.2K
99490	37	100	110	$40	$8.5K
99348	41	160	50	$40	$4K
99496	136	190	20	$180	$3.9K
99347	5	50	40	$30	$3.9K
99439	23	60	70	$30	$3.5K
99345	48	70	20	$120	$3.2K
99344	39	50	20	$90	$2K
G0180	158	200	20	$40	$940

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Washington County Mental Health Center	WI	Community/Behavioral Health Agency	$0	$22.1M
St. Josephs Community Hospital Of West Bend Inc.	WI	General Acute Care Hospital	$0	$5.8M
Lifestar Emergency Medical Services, LLC	WI	Land Ambulance	$1.5M	$2.9M
Washington County Wisconsin	WI	Community/Behavioral Health Agency	$0	$4M
West Bend Joint School District #1	WI	Local Education Agency (LEA)	$0	$2M
City Of West Bend	WI	Land Ambulance	$312.6K	$810K
Spine Solutions Of West Bend LLC	WI	Ambulatory Surgical Clinic/Center	$543.2K	$0
Nausheen Abbas	WI	Ophthalmology Physician	$355.7K	$0
West Bend Surgery Center LLC	WI	Ambulatory Surgical Clinic/Center	$261K	$3.3K
Mark Nunag	WI	Nephrology Physician	$241.7K	$0

Mary Moore — Billing Profile & Reimbursement Data

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Mary Moore — 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