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

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

Samuel Hally (NPI 1982210795)

Field	Value
Entity Type	Individual
Organization	Samuel Hally
Address	1346 Cimarron Ct
City	Middleton
State	ID
ZIP	83644
Taxonomy	Family Nurse Practitioner
NPI Enumerated	September 17, 2020

Payer Source	Total Paid
Medicare	$128.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	870	$70	$60.5K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	370	$100	$37.3K
99316	The provider sees a patient for nursing facility discharge management requiring more than 30 minutes.	130	$80	$11.1K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	230	$50	$10.8K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	140	$50	$6.8K
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…	40	$40	$1.5K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Idaho Distribution

Samuel Hally — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	7	110	190	$70	$19.3K
99310	5	60	70	$100	$12.3K
99308	12	80	60	$50	$5.4K
99316	4	50	40	$80	$4.8K
99497	18	110	40	$60	$4.4K
G0180	5	70	20	$40	$820

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Daiya Healthcare PLLC	WA	Internal Medicine Physician	$0	$8.7M
Carla Vazquez Santos	WA	Internal Medicine Physician	$3.1K	$3M
Jasmit Minhas	WA	Internal Medicine Physician	$965.4K	$0
Sumana Ketha	TX	Internal Medicine Physician	$605.1K	$500
Haramandeep Singh	CA	Sleep Medicine (Psychiatry & Neurology) Physician	$592.2K	$0
Jacques Sainvil	NY	Adult Health Nurse Practitioner	$242.5K	$260.8K
Valerie Reed	WA	Nurse Practitioner	$267.3K	$33.5K
Radu Butuc	NM	Internal Medicine Physician	$287.9K	$0
Atique Ahmad	WA	Internal Medicine Physician	$275.5K	$0
Navdeep Dhaliwal	WA	Internal Medicine Physician	$248.8K	$12.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Icare Supported Living, Inc.	ID	In Home Supportive Care Agency	$0	$13M
Middleton School District	ID	Local Education Agency (LEA)	$0	$3.2M
Daniel Allen	ID	Family Medicine Physician	$493.7K	$0
Foundations Pediatric Therapy PLLC	ID	Pediatric Occupational Therapist	$0	$443.8K
Rebecca Swainston	ID	Family Nurse Practitioner	$58.5K	$0
Jonathan Hughes	ID	Optometrist	$30.9K	$0

Samuel Hally — Billing Profile & Reimbursement Data

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Samuel Hally — 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