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

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

Paul Mcginnis (NPI 1083632269)

Field	Value
Entity Type	Individual
Organization	Paul Mcginnis
Address	1501 42nd Street Ste 575
City	West Des Moinse
State	IA
ZIP	50266
Taxonomy	Psychiatry Physician
NPI Enumerated	July 17, 2006

Payer Source	Total Paid
Medicare	$73K
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
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	430	$110	$45.1K
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…	220	$70	$15.3K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	90	$130	$10.8K
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…	30	$50	$1.7K

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. Iowa Distribution

Paul Mcginnis — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Iowa

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,373	4,690	100	$70	$14.4K
99213	3,754	4,740	100	$50	$8K
99215	14	1,220	30	$110	$6.4K
90792	8	100	20	$120	$3.9K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Phu Truong	KS	Hematology & Oncology Physician	$4.1M	$0
Hospital District No 6 Of Harper County Kansas	KS	Rural Health Clinic/Center	$0	$1.6M
Paul Pappademos	KS	Adult Reconstructive Orthopaedic Surgery Physician	$340.9K	$0
Jonathan Jensen	KS	Urology Physician	$236.7K	$0
Jason Hoke	KS	Family Medicine Physician	$138.7K	$0
Craig Sudbeck	KS	Surgery Physician	$85K	$0
Samantha Beck	KS	Surgery Physician	$57.2K	$0
Calvin Kruger	KS	Physician Assistant	$28.4K	$0
Stephen Moyer	KS	Acute Care Nurse Practitioner	$17.7K	$0

Paul Mcginnis — Billing Profile & Reimbursement Data

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Paul Mcginnis — 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