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

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

Jeffrey Hoover (NPI 1073570917)

Field	Value
Entity Type	Individual
Organization	Jeffrey Hoover
Address	4131 Nw 122nd St
City	Oklahoma City
State	OK
ZIP	73120
Taxonomy	Anesthesiology Physician
NPI Enumerated	April 26, 2006

Payer Source	Total Paid
Medicare	$38.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
00142	The provider performs anesthesia services for a patient undergoing an eye lens procedure.	330	$80	$25.3K
00145	The provider performs anesthesia services for a patient undergoing vitreoretinal surgery.	30	$140	$4.3K
00103	The provider performs anesthesia services for a patient undergoing a reconstructive procedure of eyelid such as blepharoplasty or ptosis surgery.	30	$120	$3.4K
00144	The provider performs anesthesia services for a patient undergoing a corneal transplant.	20	$130	$2.7K
00140	The provider performs anesthesia services for a patient undergoing an eye procedure.	30	$90	$2.3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Oklahoma Distribution

Jeffrey Hoover — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oklahoma

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
00142	14	150	40	$80	$10.9K
00140	15	40	20	$110	$4.6K
00103	19	50	20	$130	$4.3K
00145	14	40	20	$140	$3.8K
00144	2	10	20	$120	$2.4K

Jeffrey Hoover — 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