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.

Theresa Ohl (NPI 1972973477)

Field	Value
Entity Type	Individual
Organization	Theresa Ohl
Address	311 S 8th Ave E
City	Malta
State	MT
ZIP	59538
Taxonomy	Family Nurse Practitioner
NPI Enumerated	September 28, 2015

Payer Source	Total Paid
Medicare	$3.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 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…	30	$50	$1.5K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	40	$30	$1.1K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	30	$30	$850

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Montana Distribution

Theresa Ohl — 0 of 3 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

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	1,415	1,730	90	$50	$7.2K
99283	91	130	40	$50	$2.4K
99282	10	30	20	$30	$930

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Belmond Community Hospital	IA	Rural Health Clinic/Center	$0	$1.9M
Michael Schekall	MN	Diagnostic Radiology Physician	$1.7M	$710
Eric Maranda	MT	Dermatology Physician	$1.1M	$0
Mark Ellis	MN	Specialist	$337.9K	$0
Richard Wilson	MN	Diagnostic Radiology Physician	$304.5K	$0
William Dresen	MT	Clinical Cardiac Electrophysiology Physician	$264.9K	$0
Memorial Hospital Association	MT	Primary Care Clinic/Center	$0	$234.8K
Carter Brown	MN	Diagnostic Radiology Physician	$228.8K	$140
Scott Sullivan	CT	Diagnostic Radiology Physician	$219K	$0
Kimberly Jordan	MN	Diagnostic Radiology Physician	$215.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Malta School District	MT	Local Education Agency (LEA)	$0	$1.4M
Malta Opportunities, Inc.	MT	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$1.2M

Theresa Ohl — Billing Profile & Reimbursement Data

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Theresa Ohl — 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