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

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

Ian Symons (NPI 1073861324)

Field	Value
Entity Type	Individual
Organization	Ian Symons
Address	Cheshire Medical Centre Dhk
City	Keene
State	NH
ZIP	03431
Taxonomy	Emergency Medicine Physician
NPI Enumerated	August 16, 2012

Payer Source	Total Paid
Medicare	$43.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	140	$130	$17.5K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	150	$90	$13K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	60	$160	$9.8K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	40	$50	$2K
76604	The provider uses ultrasound to evaluate the pleural spaces for the presence of fluid or masses of the chest, upper back, chest wall, or mediastinum.	20	$20	$530
93308	The provider performs a limited or follow–up transthoracic echocardiography to obtain a two dimensional (2D) image of the heart through the chest wall. It is a limited examination of a focused…	30	$20	$490

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Hampshire Distribution

Ian Symons — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Hampshire

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	107	300	100	$130	$16.9K
99291	103	320	40	$160	$9.4K
99284	34	300	60	$90	$6.8K
99283	51	170	20	$50	$1.7K
93308	51	80	50	$20	$1K
76604	3	10	20	$20	$460

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cheshire Medical Center	NH	Medicare Defined Swing Bed Hospital Unit	$0	$8.7M
Southwestern Vermont Medical Center Inc.	VT	General Acute Care Hospital	$0	$5.1M
Cheshire Medical Center	NH	Family Medicine Physician	$0	$4.6M
Southwestern Vermont Medical Center Inc.	VT	Internal Medicine Physician	$0	$2.9M
Cheshire Medical Center	NH	General Acute Care Hospital	$0	$1.3M
Springfield Hospital	VT	Critical Access Hospital Clinic/Center	$0	$960.1K
Tomasz Stryjewski	MA	Ophthalmology Physician	$935.2K	$0
Southwestern Vermont Medical Center, Inc	VT	General Practice Physician	$0	$665.4K
Augustin Delago	NY	Cardiovascular Disease Physician	$501.1K	$0
Brion Winston	NY	Cardiovascular Disease Physician	$419.1K	$8.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Monadnock Developmental Services	NH	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$184M
Monadnock Family Services	NH	Community/Behavioral Health Agency	$0	$47.8M
Residential Resources Of Maine	NH	Community/Behavioral Health Agency	$0	$40.1M
Live Free Recovery Services, LLC	NH	Substance Abuse Rehabilitation Facility	$0	$19.1M
Chesco	NH	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$8.1M
County Of Cheshire	NH	Case Manager/Care Coordinator	$0	$7.7M
Montshire Pediatric Dentistry, PC	NH	Pediatric Dentistry	$0	$7.1M
Monadnock Collaborative	NH	Case Management Agency	$0	$5.6M
Blake C Wullbrandt	NH	Pediatric Dentistry	$0	$3.5M
Anew Behavioral Health LLC	NH	Community/Behavioral Health Agency	$0	$2M

Ian Symons — 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