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

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

Douglas Benson (NPI 1033265624)

Field	Value
Entity Type	Individual
Organization	Douglas Benson
Address	10103 Ridgegate Pkwy
City	Lone Tree
State	CO
ZIP	80124
Taxonomy	Colon & Rectal Surgery Physician
NPI Enumerated	January 26, 2007

Payer Source	Total Paid
Medicare	$9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	40	$70	$2.5K
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…	10	$180	$2.1K
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…	10	$140	$1.6K
46600	The provider performs an anoscopy, or an examination of the anus using a small, rigid, tubular instrument called an anoscope. He collects samples for analysis by brushing or washing the anal canal.…	20	$80	$1.4K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	20	$30	$670
15860	The provider assesses the blood flow in grafted tissue by injecting an illuminating dye to ensure the graft has an adequate blood supply and will remain healthy.	20	$40	$630

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Colorado Distribution

Douglas Benson — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99223	1,740	1,900	30	$130	$6.7K
99213	4,776	7,200	70	$60	$6.6K
99205	1,135	1,300	20	$150	$5K
46600	14	20	30	$90	$3.8K
99212	963	1,530	30	$40	$2K
15860	1	10	10	$30	$380

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ashwin Kurian	CO	Surgery Physician	$151.4K	$0
Santosh Nandi	CO	Colon & Rectal Surgery Physician	$87.5K	$0
Andre Reed	CO	Otolaryngology Physician	$78.1K	$0
Peter Kennealey	CO	Transplant Surgery Physician	$62.4K	$0
Ahmed Zihni	CO	Surgery Physician	$58.6K	$0
Laura Hafertepen	CO	Surgery Physician	$56.2K	$0
Rosemary Morgan	CO	Surgery Physician	$42.8K	$0
Stephanie Miller	CO	Surgery Physician	$38.8K	$0
Kari Wedell	CO	Nurse Practitioner	$37.2K	$0
David Longcope	CO	Colon & Rectal Surgery Physician	$36.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cochlear Americas	CO	Durable Medical Equipment & Medical Supplies	$27.4M	$134.9M
Home Medical Supplies, Inc.	CO	Durable Medical Equipment & Medical Supplies	$0	$10.1M
Mountain View Pain Specialists	CO	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$0	$9.9M
Patrick Eulitt	CO	Medical Oncology Physician	$2.4M	$0
Lone Tree Surgery Center, LLC	CO	Ambulatory Surgical Clinic/Center	$2.3M	$20.8K
Insight Surgery Center, LLC	CO	Ambulatory Surgical Clinic/Center	$1.4M	$79.2K
The Surgery Center At Lone Tree, LLC	CO	Ambulatory Surgical Clinic/Center	$572.7K	$704.7K
Colorado Urologic Surgery Center, LLC	CO	Ambulatory Surgical Clinic/Center	$950.6K	$17.3K
Denver Cyberknife, LLC	CO	Radiation Oncology Clinic/Center	$805.8K	$0
Healthone Ridge View Endoscopy Center, LLC	CO	Ambulatory Surgical Clinic/Center	$670.4K	$32K

Douglas Benson — Billing Profile & Reimbursement Data

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Douglas Benson — 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