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

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

Madeline Hughes (NPI 1992385710)

Field	Value
Entity Type	Individual
Organization	Madeline Hughes
Address	4488 Forest Park Ave
City	Saint Louis
State	MO
ZIP	63108
Taxonomy	Physician Assistant
NPI Enumerated	April 14, 2021

Payer Source	Total Paid
Medicare	$14.8K
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
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	60	$120	$7.2K
62270	In this diagnostic procedure, the provider obtains a sample of the cerebrospinal fluid (CSF) for examination. The provider commonly performs this procedure to rule out meningitis.	60	$90	$4.9K
G2212	Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary…	80	$20	$1.7K
96138	A technician administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of administration and scoring by any method.	50	$20	$1.1K

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. Missouri Distribution

Madeline Hughes — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99215	610	2,300	30	$110	$6.8K
62270	1	10	50	$80	$3.9K
96138	29	50	60	$20	$1.8K
G2212	15	90	40	$20	$1.7K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mwiza Ushe	MO	Neurology Physician	$283.1K	$1.3K
Scott Norris	MO	Neurology Physician	$262.8K	$0
Joel Perlmutter	MO	Neurology Physician	$257.4K	$0
Rachel Darken	MO	Neurology Physician	$221.4K	$0
Baijayanta Maiti	MO	Neurology Physician	$213.4K	$0
Rimma Ruvinskaya	MO	Physical Medicine & Rehabilitation Physician	$161.4K	$0
Lindsay Frerichs	AZ	Neurology Physician	$156.9K	$0
Isabel Alfradique-dunham	MO	Neurology Physician	$143.6K	$0
Kelly Stromsdorfer	MO	Primary Care Nurse Practitioner	$138.3K	$0
Luqi Chi	MO	Neurology Physician	$137.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Perfect Hand In Home Health Care And Service Inc.	MO	Home Health Agency	$0	$12.1M
Interfaith Residence	MO	In Home Supportive Care Agency	$0	$11.7M
Superior In Home Services LLC	MO	In Home Supportive Care Agency	$0	$10.5M
A Loving Care,inc	MO	Home Health Agency	$0	$10.4M
Elantis LLC	MO	In Home Supportive Care Agency	$0	$9.4M
Lutheran Geriatric Care, Inc	MO	Adult Day Care Clinic/Center	$0	$8.6M
Soc Health Solutions Cds LLC	MO	In Home Supportive Care Agency	$0	$7.7M
Ace Home Care LLC.	MO	Home Health Agency	$0	$6.5M
Wilma In-home Angels Inc	MO	In Home Supportive Care Agency	$0	$6.4M
Harmony Care LLC	MO	In Home Supportive Care Agency	$0	$6.2M

Madeline Hughes — Billing Profile & Reimbursement Data

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Madeline Hughes — 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