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

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

Craig Nicholson (NPI 1033223318)

Field	Value
Entity Type	Individual
Organization	Craig Nicholson
Address	2751 Fort Amanda Rd
City	Lima
State	OH
ZIP	45805
Taxonomy	Urology Physician
NPI Enumerated	August 17, 2006

Payer Source	Total Paid
Medicare	$125.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

23 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…	460	$90	$41.9K
52000	In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…	130	$120	$16.1K
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…	110	$120	$12.6K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	60	$130	$8.1K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	70	$90	$7K
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…	90	$60	$5.6K
53854	The provider uses a radiofrequency–generated water vapor thermal device to destroy prostate tissue to treat BPH and lower urinary tract symptoms.	10	$280	$4K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	30	$130	$3.9K
52352	The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…	10	$260	$3.6K
52356	The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…	10	$290	$3.5K

Showing 1–10 of 23

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Ohio Distribution

Craig Nicholson — 1 of 23 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. state median

23 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,373	20,010	100	$70	$11.7K
52000	53	340	70	$120	$10.5K
52356	120	140	20	$450	$10.3K
52352	6	10	10	$470	$8.9K
99232	5,484	8,050	70	$60	$8.7K
53854	2	10	10	$470	$8.4K
52442	16	20	60	$120	$8.3K
99223	3,207	5,590	40	$130	$7.6K
99213	8,630	20,000	70	$50	$6.6K
52310	82	100	20	$250	$6.2K

Showing 1–10 of 23

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Cincinnati Physicians Company, LLC	OH	Family Medicine Physician	$0	$65.2M
Billings Clinic	MT	General Practice Physician	$0	$53.8M
Lutheran Medical Group LLC	IN	Cardiovascular Disease Physician	$0	$21.9M
Kettering Medical Center	OH	General Acute Care Hospital	$0	$20M
Billings Clinic	MT	Emergency Care Clinic/Center	$0	$15.7M
Kettering Independent Medical Group Inc	OH	Orthopaedic Surgery Physician	$0	$8.4M
Deaconess Clinic, Inc	IN	Pediatrics Physician	$0	$6.6M
Nephrology Associates Of Northern Indiana, Inc	IN	Nephrology Physician	$0	$3.3M
Deaconess Clinic, Inc	IN	Family Medicine Physician	$0	$3.1M
Billings Clinic	MT	General Acute Care Hospital	$0	$3.1M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eye Surgery Center Of Western Ohio LLC	OH	Ambulatory Surgical Clinic/Center	$1.4M	$630.4K
David Powell	OH	Hematology & Oncology Physician	$1.4M	$0
Yousef Aldairy	OH	Ophthalmology Physician	$566.9K	$0
Matthew Akers	OH	Plastic and Reconstructive Surgery Physician	$530.1K	$0
Kurt Kuhlman	OH	Physical Medicine & Rehabilitation Physician	$523.3K	$0
Abbas Khalil	OH	Specialist	$367.8K	$99.5K
Case Center For Surgery & Endoscopy LLC	OH	Ambulatory Surgical Clinic/Center	$150K	$277.7K
Sandra Herrington	OH	Radiation Oncology Physician	$392.7K	$0
John Pajka	OH	Ophthalmology Physician	$364.9K	$0
Mitchell Romito	OH	Ophthalmology Physician	$295.8K	$0

Craig Nicholson — Billing Profile & Reimbursement Data

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Craig Nicholson — 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