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

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

Johnnie Wren (NPI 1073045746)

Field	Value
Entity Type	Individual
Organization	Johnnie Wren
Address	15 Pleasant Street
City	Au Sable Forks
State	NY
ZIP	21912
Taxonomy	Family Medicine Physician
NPI Enumerated	March 31, 2017

Payer Source	Total Paid
Medicare	$118.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	360	$120	$44.5K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	370	$80	$29.2K
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…	240	$80	$20K
G0442	Annual alcohol misuse screening, 5 to 15 minutes	370	$20	$6.7K
G0444	Annual depression screening, 5 to 15 minutes	360	$20	$6.5K
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…	70	$60	$4.1K
90694	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…	40	$80	$2.9K
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	$90	$2.2K
G0008	Administration of influenza virus vaccine	40	$30	$1.2K
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	$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 10 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New York Distribution

Johnnie Wren — 4 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. state median

10 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	7,416	30,450	90	$100	$19K
99213	17,300	31,440	80	$70	$12.1K
G0439	109	6,290	50	$130	$11.2K
90694	1,956	3,120	60	$70	$7.1K
99204	8,770	14,170	30	$130	$6.6K
99497	69	2,060	40	$70	$6.2K
99203	10,024	11,360	30	$90	$4.7K
G0008	3,966	7,140	50	$30	$2.8K
G0442	9	570	50	$20	$1.6K
G0444	23	1,540	40	$20	$1.4K

Johnnie Wren — Billing Profile & Reimbursement Data

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Johnnie Wren — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References