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

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

John Clore (NPI 1023108669)

Field	Value
Entity Type	Individual
Organization	John Clore
Address	125 Nationwide Dr
City	Lynchburg
State	VA
ZIP	24502
Taxonomy	Endocrinology, Diabetes & Metabolism Physician
NPI Enumerated	October 13, 2006

Payer Source	Total Paid
Medicare	$74.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 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…	350	$90	$32.3K
G0108	Diabetes outpatient self-management training services, individual, per 30 minutes	660	$40	$25.5K
G0109	Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes	660	$10	$7.3K
99204	The provider sees a new 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 provider…	30	$120	$3.6K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	40	$60	$2.5K
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	220	$10	$2.2K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	30	$40	$1.3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Virginia Distribution

John Clore — 2 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	3,111	12,890	140	$80	$21K
99232	3,099	4,460	80	$60	$11K
99204	3,890	6,850	40	$110	$5.9K
G0108	1	20	70	$40	$5.1K
G0109	1	10	210	$10	$2.9K
83036	222	1,190	80	$10	$2.5K
99231	807	1,500	40	$40	$2.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bon Secours St. Mary's Hospital Of Richmond LLC	VA	General Acute Care Hospital	$0	$83.1M
Bon Secours St Francis Medical Center LLC	VA	General Acute Care Hospital	$0	$44.9M
Bon Secours Memorial Regional Medical Center LLC	VA	General Acute Care Hospital	$0	$41.9M
Bon Secours Medical Group Richmond Primary Care LLC	VA	Family Medicine Physician	$0	$15.1M
Bon Secours Medical Group Richmond Specialty Care LLC	VA	Cardiovascular Disease Physician	$0	$12.9M
Bon Secours Medical Group Hampton Roads Specialty Care LLC	VA	Cardiovascular Disease Physician	$0	$9.8M
American Anesthesiology Of Virginia PC	VA	Anesthesiology Physician	$0	$8.9M
Saquib Samee	VA	Cardiovascular Disease Physician	$1.1M	$0
William Gillen	VA	MOHS-Micrographic Surgery Physician	$1.1M	$0
Mitesh Amin	VA	Cardiovascular Disease Physician	$921.2K	$2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Madeline Centre Incorporated	VA	Mental Health Counselor	$0	$18M
Team Nurse, Inc.	VA	Personal Care Attendant	$0	$10.3M
Sponsored Residential Services Of Central Virginia, LLC	VA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$9.8M
Immanuel Residential Services LLC	VA	Home Health Agency	$0	$9.1M
Links To Life, LLC	VA	Developmentally Disabled Services Day Training Agency	$0	$8.7M
Sisters Heavenly Homes Residential Services, LLC	VA	Exclusive Provider Organization	$0	$8.5M
Anderson Mediation Services, Inc	VA	Counselor	$0	$7.5M
Shannon Sawyer Dmd, Inc.	VA	Pediatric Dentistry	$0	$7M
Strategic Therapy Associates, Inc.	VA	Community/Behavioral Health Agency	$0	$6.8M
Strategic Therapy Associates, Inc.	VA	Community/Behavioral Health Agency	$0	$6.3M

John Clore — Billing Profile & Reimbursement Data

Sign up for John Clore — Billing Profile & Reimbursement Data policy alerts

John Clore — Billing Profile & Reimbursement Data

Sign up for John Clore — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References