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

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

Rick Downey (NPI 1043297252)

Field	Value
Entity Type	Individual
Organization	Rick Downey
Address	19600 E 39th St S
City	Independence
State	MO
ZIP	64057
Taxonomy	Certified Registered Nurse Anesthetist
NPI Enumerated	December 29, 2005

Payer Source	Total Paid
Medicare	$72K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
00142	The provider performs anesthesia services for a patient undergoing an eye lens procedure.	330	$120	$41K
00140	The provider performs anesthesia services for a patient undergoing an eye procedure.	60	$150	$9.4K
00103	The provider performs anesthesia services for a patient undergoing a reconstructive procedure of eyelid such as blepharoplasty or ptosis surgery.	50	$160	$7K
00812	The provider performs anesthesia services for a patient undergoing a screening colonoscopy during which the surgical provider introduces an endoscope into the intestines below the duodenum, the part…	60	$90	$5.2K
00144	The provider performs anesthesia services for a patient undergoing a corneal transplant.	20	$180	$3.5K
00731	The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…	30	$100	$2.7K
00813	The anesthesia provider performs anesthesia services for a patient undergoing both upper and lower intestinal endoscopy where the surgical provider introduces an endoscope into the intestines above…	30	$90	$2.4K
00811	The provider performs anesthesia services for a patient undergoing an unspecified lower intestinal endoscopic procedure where the surgical provider introduces an endoscope into the intestines up to…	10	$90	$1.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Missouri Distribution

Rick Downey — 1 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
00142	19	430	30	$80	$6.3K
00103	4	50	20	$120	$2.7K
00144	2	10	20	$170	$2.7K
00811	712	810	20	$80	$2.6K
00140	6	80	20	$110	$2.5K
00812	37	420	20	$80	$2.4K
00731	306	1,010	20	$80	$2.3K
00813	88	360	20	$90	$2.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Heartland Regional Medical Center	MO	General Acute Care Hospital	$0	$57.1M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Heartland Regional Medical Center	MO	General Practice Physician	$0	$20.4M
Midwest Division - Lrhc LLC	MO	Critical Access Hospital	$0	$6.4M
Saint Lukes Hospital Of Chillicothe	MO	Critical Access Hospital	$0	$6.1M
Saint Luke's Hospital Of Trenton	MO	Critical Access Hospital	$0	$3.4M
Novamed Eye Surgery Center Of Overland Park, LLC	KS	Ambulatory Surgical Clinic/Center	$2.9M	$24.9K
Matthew Robertson	KS	Oral and Maxillofacial Surgery (Dentist)	$0	$1.2M
Bradley Moore	MO	Urology Physician	$1.1M	$0
Jonathan Smith	VA	MOHS-Micrographic Surgery Physician	$981.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Centerpoint Medical Center Of Independence, LLC	MO	General Acute Care Hospital	$0	$38.7M
Medevac Medical Response Inc	MO	Ambulance	$1.6M	$15.1M
Emergency Medicine Services Of Mo, LLC	MO	Emergency Medicine Physician	$0	$7.1M
Kenneth Schultz	MO	Podiatrist	$244.9K	$140.9K
Olga Kulbatskaya	MO	Family Nurse Practitioner	$211.5K	$0
Munaf Siyamwala	MO	Pulmonary Disease Physician	$179.6K	$0
Scott Koerber	MO	Clinical Cardiac Electrophysiology Physician	$175K	$0
Gregory Ballard	MO	Orthopaedic Surgery Physician	$165.5K	$0
Kent Haggard	MO	Urology Physician	$161.9K	$0
Jayasheel Eshcol	MO	Interventional Cardiology Physician	$141.5K	$0

Rick Downey — Billing Profile & Reimbursement Data

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Rick Downey — 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