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

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

Mark Peterson (NPI 1043957327)

Field	Value
Entity Type	Individual
Organization	Mark Peterson
Address	1441 Natural Spring Ln
City	Rockingham
State	VA
ZIP	22801
Taxonomy	Medical Physician Assistant
NPI Enumerated	May 17, 2022

Payer Source	Total Paid
Medicare	$34.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	130	$110	$15K
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…	100	$80	$7.7K
G0316	Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date…	380	$20	$7.7K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	90	$50	$4.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Virginia Distribution

Mark Peterson — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	1,421	3,290	80	$90	$13.7K
99232	2,122	4,460	80	$60	$11K
99223	441	3,660	40	$130	$9.2K
G0316	4	60	40	$20	$2.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sentara Medical Group	VA	Family Medicine Physician	$0	$48.7M
Rmh Medical Group LLC	VA	General Practice Physician	$0	$9.8M
Thomas Basco	VA	Obstetrics & Gynecology Physician	$456.5K	$0
Anthony Bevilacqua	VA	Orthopaedic Surgery Physician	$385.9K	$0
Alrich Gray	MT	Cardiovascular Disease Physician	$366.7K	$0
Catherine Brignoni	CA	Neurology Physician	$328.9K	$0
Glenn Deputy	VA	Neurology Physician	$311.7K	$0
James Isernia	SC	Internal Medicine Physician	$274.6K	$380
Corry Chapman	VA	Family Medicine Physician	$269.9K	$0
Samuel Steerman	VA	Vascular Surgery Physician	$259K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sentara Rmh Medical Center	VA	General Acute Care Hospital	$0	$52.9M
Continuing Care Home Health Services Inc	VA	Home Health Agency	$0	$15.3M
Metro Treatment Of Virginia LP	VA	Methadone Clinic	$122.8K	$7.8M
Harrisonburg Community Health Center	VA	Federally Qualified Health Center (FQHC)	$0	$7.7M
Priority Patient Transport Inc	VA	Ambulance	$789.8K	$5.2M
Integrity Home Care LLC	VA	In Home Supportive Care Agency	$0	$5.7M
Christopher Eller	VA	Ophthalmology Physician	$1.7M	$0
Harrisonburg Rescue Squad Incorporated	VA	Ambulance	$542.5K	$1M
Rockingham Eye Surgery Center, LLC	VA	Ambulatory Surgical Clinic/Center	$1.5M	$0
Daryl Kurz	VA	Ophthalmology Physician	$1.1M	$0

Mark Peterson — Billing Profile & Reimbursement Data

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Mark Peterson — 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