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

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

Russell Hales (NPI 1033255138)

Field	Value
Entity Type	Individual
Organization	Russell Hales
Address	4940 Eastern Ave
City	Baltimore
State	MD
ZIP	21224
Taxonomy	Radiation Oncology Physician
NPI Enumerated	January 29, 2007

Payer Source	Total Paid
Medicare	$408.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
77014	N/A	1,850	$40	$70.3K
77427	Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…	370	$160	$59.8K
77301	Intensity modulated radiotherapy (IMRT) uses advanced computer technology to deliver very precise radiation beams that target and destroy the cancerous cells while avoiding the surrounding healthy…	160	$350	$56.5K
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…	700	$80	$55.5K
77435	In this procedure, the provider manages the complete course of stereotactic body radiotherapy treatment in which he uses a three–dimensional coordinate system to locate small targets or lesions…	80	$550	$45.6K
77263	The provider decides the location and the number of ports (the points for the radiation beams to enter the body), the design and location of the shielding blocks, and the modes of therapy (e.g., arc…	190	$140	$27.5K
77334	The provider designs, develops, and constructs special and customized devices for proper radiation dose delivery and protection of nearby healthy tissues.	450	$50	$22.7K
99205	The provider sees a new 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 provider…	110	$150	$16.9K
77338	In this procedure, the provider participates in the design and construction of one or more multi–leaf collimator, MLC, devices for intensity modulated radiation therapy, IMRT. IMRT is a radiotherapy…	80	$190	$15.7K
77300	Radiation therapy is one of the most effective treatment methods for cancerous tumors. Due to its negative side effects like damage to the healthy cells, radiation therapy involves thorough planning…	480	$30	$13.3K

Showing 1–10 of 15

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maryland Distribution

Russell Hales — 6 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. state median

15 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
77014	4	90	640	$60	$43.9K
77301	2	70	40	$820	$42.6K
77427	13	90	190	$160	$36.6K
99214	1,063	10,270	150	$90	$24.1K
77435	1	20	20	$550	$14.2K
77338	13	70	50	$260	$14.2K
77300	16	90	220	$40	$11.9K
77334	5	80	170	$60	$11.7K
99215	3,320	4,070	50	$120	$10.9K
77263	3	90	70	$140	$10.7K

Showing 1–10 of 15

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Johns Hopkins University	MD	Emergency Medicine Physician	$0	$21.1M
The Johns Hopkins Hospital	MD	General Acute Care Hospital	$0	$19.9M
Johns Hopkins University	MD	Body Imaging Physician	$0	$15.3M
William Sharfman	MD	Medical Oncology Physician	$9.1M	$0
Johns Hopkins University	MD	Pediatric Emergency Medicine (Pediatrics) Physician	$0	$8.6M
Johns Hopkins University	MD	Internal Medicine Physician	$0	$6.2M
Johns Hopkins University	MD	Cardiovascular Disease Physician	$0	$4.9M
Johns Hopkins University	MD	Hospitalist Physician	$0	$4.5M
Daniel Becker	MD	Neurology Physician	$3.9M	$0
Johns Hopkins University	MD	Clinical Medical Laboratory	$2M	$1.6M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baltimore Medical System Inc	MD	Federally Qualified Health Center (FQHC)	$0	$121.2M
Medi-rents & Sales, Inc.	MD	Oxygen Equipment & Supplies (DME)	$0	$85.8M
Johns Hopkins Pharmaquip Inc	MD	Home Infusion Therapy Pharmacy	$0	$81.8M
Johns Hopkins Pediatrics At Home, Inc.	MD	Durable Medical Equipment & Medical Supplies	$0	$45.6M
Johns Hopkins Home Care Group, Inc	MD	Case Management Agency	$0	$43M
Community Wellness Outpatient Mental Health Center LLC	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$27.6M
Key Point Health Services, Inc	MD	Mental Illness Community Based Residential Treatment Facility	$0	$19.2M
Patient First Maryland Medical Group PLLC	MD	Family Medicine Physician	$0	$18.8M
Eastern Avenue Health Solutions Inc.	MD	Methadone Clinic	$340.5K	$16.6M
Community Wellness Psychiatric Rehabilitation Program LLC	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$13.9M

Russell Hales — 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