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

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

Walter Vernon (NPI 1013005024)

Field	Value
Entity Type	Individual
Organization	Walter Vernon
Address	1601 E 19th Ave Ste 4600
City	Denver
State	CO
ZIP	80218
Taxonomy	Surgery Physician
NPI Enumerated	October 11, 2006

Payer Source	Total Paid
Medicare	$27.8K
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
50360	The provider transplants a kidney and ureter from a cadaver or living donor into a recipient. The provider does not remove a kidney (nephrectomy) from the recipient.	20	$1,480	$22.2K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	20	$140	$2.2K
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…	20	$110	$1.9K
99205	The provider sees a new 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 provider…	10	$130	$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 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Colorado Distribution

Walter Vernon — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
50360	4	10	20	$1,380	$20.8K
99215	2,685	3,230	40	$110	$8.1K
99223	1,500	1,900	30	$130	$6.7K
99205	1,208	1,300	20	$150	$5K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eric Jamrich	CO	Orthopaedic Surgery Physician	$299.3K	$0
Armodios Hatzidakis	CO	Adult Reconstructive Orthopaedic Surgery Physician	$258.2K	$0
Edward Parks	CO	Sports Medicine (Orthopaedic Surgery) Physician	$242.5K	$0
Dennis Chang	CO	Orthopaedic Surgery Physician	$216.1K	$0
Michael Gallizzi	CO	Orthopaedic Surgery of the Spine Physician	$164.6K	$0
Ashwin Kurian	CO	Surgery Physician	$151.4K	$0
Ali Sarram	CO	Urology Physician	$146.4K	$0
Jens-peter Witt	CO	Neurological Surgery Physician	$139.5K	$0
Robert Bess	AZ	Orthopaedic Surgery Physician	$116.8K	$0
John Barker	CO	Orthopaedic Surgery Physician	$115.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hca Healthone LLC	CO	General Acute Care Hospital	$0	$13.3M
Saint Joseph Hospital, Inc	CO	General Acute Care Hospital	$0	$12M
P2p Recovery Resources	CO	Substance Use Disorder Rehabilitation Clinic/Center	$0	$8.6M
Obstetrix Medical Group Of Colorado P C	CO	Neonatal-Perinatal Medicine Physician	$0	$7.8M
Eric S Yaeger Md PC	CO	Hospitalist Physician	$0	$3.7M
Robert Rifkin	CO	Hematology & Oncology Physician	$3.3M	$0
Ioana Hinshaw	CO	Hematology & Oncology Physician	$2.7M	$0
Sj East Campus Asc, LLC	CO	Ambulatory Surgical Clinic/Center	$1.1M	$0
Michele Basche	CO	Hematology & Oncology Physician	$854K	$0
Allen Cohn	CO	Hematology & Oncology Physician	$610.9K	$0

Walter Vernon — Billing Profile & Reimbursement Data

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Walter Vernon — 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