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

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

Ryan Rushton (NPI 1013007632)

Field	Value
Entity Type	Individual
Organization	Ryan Rushton
Address	7495 S State St
City	Midvale
State	UT
ZIP	84047
Taxonomy	Foot Surgery Podiatrist
NPI Enumerated	October 13, 2006

Payer Source	Total Paid
Medicare	$28.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	230	$50	$12K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	170	$50	$7.6K
11721	The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.	220	$20	$3.2K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	70	$30	$2.1K
11720	The provider surgically debrides (debulks or removes) 1 to 5 abnormal, diseased, or infected nails.	140	$10	$1.4K
11750	The provider removes part or all of a fingernail or toenail, including the nail plate and matrix and including the lunula if the excision is complete.	20	$60	$1.1K
11056	The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.	50	$20	$860
11055	The provider removes a single benign hyperkeratotic lesion by using surgical instruments like a scalpel or curette.	20	$10	$210
11719	The provider performs trimming of one or more normally developed nails of the fingers or toes.	20	$10	$110

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Utah Distribution

Ryan Rushton — 1 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
11721	57	120	210	$30	$10.2K
11056	62	100	80	$50	$8K
99213	719	3,680	60	$50	$6.4K
11720	11	50	50	$20	$4.6K
11055	83	90	50	$50	$3.7K
99203	6	1,360	30	$70	$2.7K
11750	43	60	20	$100	$2.5K
99202	12	130	20	$40	$1.3K
11719	9	10	50	$10	$1.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Utah Community Physicians Group	UT	General Practice Physician	$0	$36M
Steven Craig	UT	Podiatrist	$128.7K	$124K
Robert Tashjian	UT	Orthopaedic Surgery Physician	$139.2K	$0
Aubrey Kruisman	UT	Family Nurse Practitioner	$111.2K	$0
Terrence Bjordahl	UT	Nephrology Physician	$98.1K	$1.5K
Kimberly Jensen	NM	Internal Medicine Physician	$91.1K	$0
Jeffrey Olpin	UT	Diagnostic Radiology Physician	$55.4K	$0
Edward Quigley	UT	Diagnostic Radiology Physician	$53.9K	$0
Zachary Krahn	UT	Diagnostic Radiology Physician	$47.5K	$2.1K
Richard Craig	UT	Gastroenterology Physician	$44.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Utah Autism Academy	UT	Developmentally Disabled Services Day Training Agency	$0	$8.2M
Jordan School District	UT	Local Education Agency (LEA)	$0	$6.6M
Ihc Health Services Inc	UT	Specialty Pharmacy	$0	$6.5M
National Durable Medical Equipment Inc	UT	Prosthetic/Orthotic Supplier	$0	$3.7M
Next Level Recovery LLC	UT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.2M
Apria Healthcare LLC	UT	Durable Medical Equipment & Medical Supplies	$0	$2.1M
Community Health Centers, Inc.	UT	Federally Qualified Health Center (FQHC)	$0	$1.5M
Mg Cottonwood Heights Subtenant LLC	UT	Assisted Living Facility	$0	$1.4M
Canyon Creek Property Management LLC	UT	Assisted Living Facility	$0	$948.9K
Eye Care For Kids	UT	Optometrist	$0	$863.4K

Ryan Rushton — 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