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

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

Philip Fox (NPI 1013976596)

Field	Value
Entity Type	Individual
Organization	Philip Fox
Address	1403 60th St Se
City	Kentwood
State	MI
ZIP	49508
Taxonomy	Psychiatry Physician
NPI Enumerated	March 22, 2006

Payer Source	Total Paid
Medicare	$30.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90870	The provider applies an electric current to the patient's brain for the purpose of producing a seizure or series of seizures to alleviate symptoms of various mental disorders.	320	$80	$25.1K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	60	$50	$3.3K
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…	40	$40	$1.7K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Michigan Distribution

Philip Fox — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	8,997	15,470	80	$80	$11.4K
90870	2	20	130	$80	$11.1K
99213	9,674	14,810	60	$60	$6.6K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pine Rest Christian Mental Health Services	MI	Psychiatric Hospital	$0	$54.8M
Patricia Hawkins	MI	Mental Health Counselor	$0	$5.3M
Shady Shebak	MI	Psychiatry Physician	$109.3K	$120.8K
Amy Reed	MI	Psychiatric/Mental Health Nurse Practitioner	$73.5K	$0
Jonathan Dargo	MI	Psychiatry Physician	$36.4K	$0
Louis Nykamp	MI	Psychiatry Physician	$33.1K	$0
Kathleen Regan	MI	Psychiatry Physician	$24.2K	$0
Afiah Ahsan	WV	Psychiatry Physician	$20.7K	$0
Nagy Youssef	MI	Psychiatry Physician	$16.4K	$0
Mark Steenwyk	IN	Clinical Psychologist	$8.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Thresholds Inc	MI	Case Management Agency	$0	$44.3M
John N Campbell Md PC	MI	Addiction Medicine (Internal Medicine) Physician	$0	$7.9M
John Campbell	MI	Addiction Medicine (Internal Medicine) Physician	$215.8K	$0
Carol Pisarello	MI	Internal Medicine Physician	$162.3K	$0

Philip Fox — Billing Profile & Reimbursement Data

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Philip Fox — 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