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

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

Jessica Philbrook (NPI 1992899884)

Field	Value
Entity Type	Individual
Organization	Jessica Philbrook
Address	29 Military St Ste B
City	Houlton
State	ME
ZIP	04730
Taxonomy	Optometrist
NPI Enumerated	October 3, 2006

Payer Source	Total Paid
Medicare	$11.9K
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
92012	For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…	190	$50	$8.8K
92250	Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…	90	$20	$1.9K
92083	The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…	30	$30	$780
92002	The provider performs an intermediate level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program.	10	$40	$440

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. Maine Distribution

Jessica Philbrook — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92012	22	130	50	$60	$5.2K
92083	129	180	40	$40	$2.2K
92250	48	150	60	$20	$2.1K
92002	7	10	10	$50	$720

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rose Fuchs	ME	Family Medicine Physician	$121.1K	$0
Nicole Stokes	LA	Family Nurse Practitioner	$74.6K	$0
Paula Cyr	ME	Clinical Social Worker	$34.2K	$0
Danhong Zhao	ME	Psychiatry Physician	$25K	$0
Jean Hamlin	ME	Family Medicine Physician	$1.7K	$0
Lisa Nielsen	ME	Family Medicine Physician	$1.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Living Association	ME	Nursing Care Agency	$0	$30.4M
Katahdin Valley Health Center	ME	Federally Qualified Health Center (FQHC)	$0	$22.5M
Houlton Regional Hospital	ME	Rural Health Clinic/Center	$0	$7M
Houlton Band Of Maliseet Indians	ME	Clinic/Center	$0	$4.3M
Houlton Regional Hospital	ME	Critical Access Hospital	$0	$4.1M
A New Start LLC	ME	Social Worker	$0	$3.5M
Houlton Regional Hospital	ME	Rural Health Clinic/Center	$0	$3.1M
Town Of Houlton	ME	Land Ambulance	$243.2K	$1.6M
Abc Behave LLC	ME	Developmental Therapist	$0	$1.4M
Southern Aroostook Ems Authority	ME	Land Ambulance	$126.7K	$343.9K

Jessica Philbrook — Billing Profile & Reimbursement Data

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Jessica Philbrook — 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