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

Why is the Medicaid comparison limited to Minnesota 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. Minnesota (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 Johnson (NPI 1043299555)

Field	Value
Entity Type	Individual
Organization	Craig Johnson
Address	280 Smith Ave N Ste 700
City	Saint Paul
State	MN
ZIP	55102
Taxonomy	Plastic Surgery Physician
NPI Enumerated	January 12, 2006

Payer Source	Total Paid
Medicare	$28.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
15734	The provider develops a muscle, myocutaneous, or fasciocutaneous flap obtained from the trunk (the area between the neck and the waist) and places it over a defect on the patient's body.	30	$830	$26.5K
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…	10	$100	$1.3K
99203	The provider sees a new 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 provider…	10	$80	$960

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Minnesota Distribution

Craig Johnson — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
15734	2	10	30	$870	$30.3K
99222	1,793	2,220	20	$90	$2.7K
99203	2,339	2,690	20	$70	$2.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Allina Health System	MN	Ambulance	$9M	$118M
Independent School District 625	MN	Local Education Agency (LEA)	$0	$43.1M
City Of St Paul	MN	Land Ambulance	$2M	$40.9M
Allina Health System	MN	General Acute Care Hospital	$0	$25.7M
United Family Practice Health Center	MN	Family Medicine Physician	$0	$17.7M
Ramsey County	MN	Public Health or Welfare Agency	$0	$9.8M
Serenity Home Health Care System Inc	MN	Home Health Agency	$0	$4.6M
West Side Community Health Services, Inc	MN	Federally Qualified Health Center (FQHC)	$0	$4.5M
Healtheast St Josephs Hospital	MN	General Acute Care Hospital	$0	$4.3M
Mark Palmer	MN	Radiation Oncology Physician	$563.7K	$0

Craig Johnson — Billing Profile & Reimbursement Data

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Craig Johnson — 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