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

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

Codey Gillum (NPI 1023416781)

Field	Value
Entity Type	Individual
Organization	Codey Gillum
Address	125 Parker Hill Ave
City	Roxbury Crossing
State	MA
ZIP	02120
Taxonomy	Surgical Physician Assistant
NPI Enumerated	December 11, 2014

Payer Source	Total Paid
Medicare	$9.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 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…	30	$90	$3K
63047	The provider performs a laminectomy (excision of the thin bony plate at the back of a vertebra), facetectomy (excision of an area of a vertebra characterized by its smooth surface), and foraminotomy…	30	$90	$2.5K
22614	The provider performs arthrodesis, also known as spinal fusion, to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone graft material to fuse the spine. The…	50	$40	$2K
63048	At the same session as laminectomy, facetectomy, and foraminotomy on an initial segment for decompression, the provider performs the procedure on an additional vertebral segment.	60	$20	$1.3K
22848	The provider attaches the lower end of a spinal fixation device to the pelvic bones, but not the tailbone, during the course of a spinal surgery, such as a spinal fusion, or arthrodesis.	10	$40	$450

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Massachusetts Distribution

Codey Gillum — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
22614	41	70	50	$270	$15.8K
99214	12,461	15,410	110	$80	$15.6K
63047	23	100	20	$580	$13.4K
22848	6	10	30	$210	$5.1K
63048	7	70	30	$140	$5K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Robert Galamaga	AZ	Hematology & Oncology Physician	$749.9K	$0
Rashad Khan	TX	Hematology & Oncology Physician	$698.8K	$0
Carl Talmo	MA	Orthopaedic Surgery Physician	$421.6K	$0
Geoffrey Van Flandern	MA	Orthopaedic Surgery Physician	$408.1K	$0
David Mattingly	MA	Adult Reconstructive Orthopaedic Surgery Physician	$381.4K	$0
Daniel Ward	MA	Orthopaedic Surgery Physician	$343K	$0
James Nairus	MA	Orthopaedic Surgery Physician	$339.8K	$0
James Bono	MA	Adult Reconstructive Orthopaedic Surgery Physician	$309.1K	$0
Andrew Jawa	MA	Orthopaedic Hand Surgery Physician	$284.3K	$0
Vivek Shah	MA	Adult Reconstructive Orthopaedic Surgery Physician	$276.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Whittier Street Health Center Committee Inc	MA	Clinic/Center	$0	$36.8M
Steven Wetzner	MA	Diagnostic Radiology Physician	$839.7K	$0
Charles Dow	MA	Cardiovascular Disease Physician	$333.5K	$13.3K
Daniel Carr	MA	Diagnostic Radiology Physician	$246.7K	$770
Frank Rand	MA	Orthopaedic Surgery of the Spine Physician	$230.2K	$0
Aaron Thomas	MA	Neuroradiology Physician	$214.2K	$0
Damon Spitz	MA	Specialist	$209.8K	$0
Mihran Artinian	MA	Vascular & Interventional Radiology Physician	$209.4K	$0
Owen Maddox	MA	Specialist	$199.3K	$0
Daniel Le	MA	Orthopaedic Surgery Physician	$193.3K	$0

Codey Gillum — Billing Profile & Reimbursement Data

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Codey Gillum — 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