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

Why is the Medicaid comparison limited to Indiana 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. Indiana (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 Thompson (NPI 1023073699)

Field	Value
Entity Type	Individual
Organization	William Thompson
Address	1201 Main St.
City	Monroe City
State	IN
ZIP	47557
Taxonomy	Family Medicine Physician
NPI Enumerated	April 18, 2006

Payer Source	Total Paid
Medicare	$247.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

31 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	1,040	$80	$81.8K
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…	1,000	$50	$53.8K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	330	$120	$39.1K
90662	This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…	200	$70	$13.7K
90677	This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…	40	$280	$11.3K
G0008	Administration of influenza virus vaccine	240	$30	$6.8K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	770	$10	$6.2K
G0444	Annual depression screening, 5 to 15 minutes	330	$20	$5.7K
95165	In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.	610	$10	$5.5K
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	30	$150	$4.2K

Showing 1–10 of 31

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 31 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Indiana Distribution

William Thompson — 7 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. state median

31 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	140	10,540	110	$80	$15.5K
95165	39	80	560	$10	$12.8K
17110	299	350	110	$70	$10.4K
G0439	37	2,430	60	$120	$10.1K
17000	346	410	170	$30	$8.6K
11102	310	320	120	$50	$8.5K
99213	93	10,820	80	$50	$7.6K
90677	160	1,410	20	$280	$6.9K
20610	397	1,000	50	$40	$4.6K
98925	6	10	40	$20	$4.2K

Showing 1–10 of 31

William Thompson — Billing Profile & Reimbursement Data

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William Thompson — 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