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

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

William Rodes (NPI 1003813593)

Field	Value
Entity Type	Individual
Organization	William Rodes
Address	110 29th Ave N
City	Nashville
State	TN
ZIP	37203
Taxonomy	Anesthesiology Physician
NPI Enumerated	June 30, 2005

Payer Source	Total Paid
Medicare	$8.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
00537	The provider performs anesthesia services for a patient undergoing cardiac electrophysiologic procedures, such as mapping, pacing, recording, arrhythmia induction, lead testing, and similar services,…	20	$140	$2.9K
01926	The provider performs anesthesia services for a patient undergoing therapeutic interventional radiological procedures involving the arteries that are intracranial, or situated within the skull;…	20	$100	$2.4K
01922	The provider performs anesthesia services for a patient undergoing non–invasive imaging or radiation therapy.	20	$70	$1.2K
00530	The provider performs anesthesia services for a patient undergoing the procedure of permanent transvenous pacemaker insertion in which another provider inserts a device via a blood vessel in the neck…	10	$70	$920
00731	The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…	10	$60	$820

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Tennessee Distribution

William Rodes — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
00537	64	110	20	$190	$5.3K
01926	10	70	10	$170	$2.8K
01922	128	260	20	$100	$2.5K
00731	836	1,020	20	$80	$2.5K
00530	60	90	20	$100	$2K

William Rodes — Billing Profile & Reimbursement Data

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William Rodes — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References