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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

Susan Clarke (NPI 1972628600)

Field	Value
Entity Type	Individual
Organization	Susan Clarke
Address	221a Professional Cir
City	Morehead City
State	NC
ZIP	28557
Taxonomy	Family Nurse Practitioner
NPI Enumerated	March 20, 2007

Payer Source	Total Paid
Medicare	$49.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	300	$70	$21.4K
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…	390	$50	$20.4K
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…	20	$180	$4.2K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	290	$10	$2.3K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	540	$1	$540
J2930	Injection, methylprednisolone sodium succinate, up to 125 mg	40	$1	$120
81003	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…	60	$1	$120
J0696	Injection, ceftriaxone sodium, per 250 mg	440	$0	$0

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

Susan Clarke — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	3,621	18,060	110	$80	$15.1K
99213	1,032	16,320	70	$50	$7.1K
99496	183	500	20	$190	$5K
96372	110	2,690	50	$10	$750
J3301	423	1,820	190	$1	$370
81003	630	3,230	30	$1	$200
J2930	55	160	30	$1	$180
J0696	5	280	80	$1	$40

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Edwards Health Care Services, Inc.	NC	Durable Medical Equipment & Medical Supplies	$0	$35.2M
Maxim Healthcare Services, Inc.	NC	Home Health Agency	$0	$28.8M
Pathways Human Services Of North Carolina, LLC	NC	Community/Behavioral Health Agency	$0	$10.3M
Carteret Clinic For Adolescents And Children	NC	Pediatrics Physician	$0	$8.7M
Morehead City Treatment Center, LLC	NC	Community/Behavioral Health Agency	$121.4K	$3.9M
Friendly Medical Transportation LLC	NC	Land Ambulance	$825.8K	$2.9M
Center Of Morehead City, LLC	NC	Ambulatory Surgical Clinic/Center	$888.8K	$0
Town Of Morehead City	NC	Land Ambulance	$441.5K	$387.2K
Mary Lawrence	NC	Endocrinology, Diabetes & Metabolism Physician	$581.6K	$0
John Gould	NC	Cardiovascular Disease Physician	$529.4K	$0

Susan Clarke — Billing Profile & Reimbursement Data

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Susan Clarke — 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