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

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

Justin Vaughan (NPI 1083025886)

Field	Value
Entity Type	Individual
Organization	Justin Vaughan
Address	777 Hemlock St
City	Macon
State	GA
ZIP	31201
Taxonomy	Student in an Organized Health Care Education/Training Program
NPI Enumerated	May 14, 2014

Payer Source	Total Paid
Medicare	$20.4K
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
44120	In this procedure, the provider removes a single affected segment of the small intestine and connects the remaining intestinal ends.	10	$810	$10.6K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	90	$40	$3.3K
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…	30	$100	$3.1K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	40	$60	$2.4K
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…	20	$60	$980

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. Georgia Distribution

Justin Vaughan — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99232	4,779	5,010	80	$60	$10.9K
44120	1	10	10	$810	$10.6K
99222	1,271	3,080	30	$100	$3.9K
99231	196	1,310	40	$40	$2.3K
99221	97	560	20	$60	$1.6K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lubbock County Hospital District	TX	General Acute Care Hospital	$0	$14.4M
Francis Mogollon Duffo	FL	Medical Oncology Physician	$803.9K	$0
Mark Gallardo	TX	Ophthalmology Physician	$379.8K	$0
Deephak Swaminath	TX	Clinical Cardiac Electrophysiology Physician	$168.7K	$0
Ankush Lahoti	PA	Interventional Cardiology Physician	$143.4K	$1.1K
Guy Wells	TX	Clinical Cardiac Electrophysiology Physician	$129.1K	$0
Coby Ray	TX	Ophthalmology Physician	$99.3K	$0
Cyrus Caroom	TX	Orthopaedic Trauma Physician	$84.6K	$0
Victor Test	TX	Pulmonary Disease Physician	$74.8K	$0
Max Davis	TN	Orthopaedic Surgery Physician	$73.3K	$0

Justin Vaughan — Billing Profile & Reimbursement Data

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Justin Vaughan — 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

Frequently Asked Questions

References