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

Why is the Medicaid comparison limited to New Mexico 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. New Mexico (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.

James Harrington (NPI 1043204290)

Field	Value
Entity Type	Individual
Organization	James Harrington
Address	2011 Lomas Blvd
City	Albuquerque
State	NM
ZIP	87131
Taxonomy	Specialist
NPI Enumerated	September 2, 2005

Payer Source	Total Paid
Medicare	$55.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

20 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…	100	$120	$12.1K
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…	60	$160	$8.6K
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…	50	$80	$3.7K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	110	$30	$3.7K
72148	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.	50	$60	$3.2K
99233	The provider sees a patient for a subsequent 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	$90	$2.9K
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…	20	$120	$2.8K
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…	20	$140	$2.6K
72158	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents first without using contrast and again after injecting contrast material.	20	$100	$2.2K
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	$190	$2.1K

Showing 1–10 of 20

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Mexico Distribution

James Harrington — 0 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. state median

20 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	399	410	80	$130	$14.5K
99214	1,251	2,700	90	$70	$12.9K
99233	384	520	60	$90	$10.4K
99215	934	960	40	$110	$7.8K
99213	1,413	2,440	60	$50	$7.3K
99232	774	830	60	$60	$7.3K
99223	157	490	30	$130	$7.3K
72148	34	80	40	$90	$6.2K
99284	442	460	50	$90	$6.1K
70450	74	120	160	$30	$5.6K

Showing 1–10 of 20

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Carl Gilmore	NM	Orthopaedic Surgery Physician	$171.3K	$0
Andrew Bruner	NM	Diagnostic Radiology Physician	$128.8K	$920
Edo Avochinou	NM	Internal Medicine Physician	$125.6K	$0
William Schaeffer	NM	Vascular & Interventional Radiology Physician	$125.3K	$0
Kurt Pedrotty	NM	Diagnostic Radiology Physician	$118.7K	$0
Wallace Gladden	NM	Physical Medicine & Rehabilitation Physician	$113.5K	$0
David Martin	NM	Anatomic Pathology & Clinical Pathology Physician	$109K	$0
Reuel Measom	NM	Interventional Pain Medicine Physician	$106.2K	$0
Jennifer Pohl	NM	Diagnostic Radiology Physician	$105.6K	$0
Eddie Brown	NM	Cardiovascular Disease Physician	$104.2K	$0

James Harrington — Billing Profile & Reimbursement Data

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James Harrington — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References