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

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

Gregg Pearson (NPI 1083645972)

Gregg Pearson is a family medicine physician provider located in Waterford, New Jersey. This profile covers 23 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Provider details (source: NPPES NPI Registry)

Medicare: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Gregg Pearson
Address	369s White Horse Pike
City	Waterford
State	NJ
ZIP	08089
Taxonomy	Family Medicine Physician
NPI Enumerated	July 6, 2006

Payer Source	Total Paid
Medicare	$403.6K
Medicaid	$0

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	2,060	$100	$195.3K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	400	$140	$57K
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…	530	$50	$27.6K
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	$70	$26.4K
99496	The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…	110	$220	$23K
96116	A physician or other qualified healthcare professional performs a face–to–face assessment of a patient’s thinking, reasoning, and judgment. Report this code for the first hour of face–to–face…	250	$60	$14.4K
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…	170	$80	$13.1K
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…	70	$150	$9.8K
90670	This code represents a pneumococcal vaccine product administered into the muscle to protect against 13 types of pneumococcal bacteria that can cause serious infections like pneumonia, meningitis, and…	40	$250	$9.1K
G0008	Administration of influenza virus vaccine	240	$30	$7.9K

Showing 1–10 of 23

Gregg Pearson — Billing Profile & Reimbursement Data

Sign up for Gregg Pearson — Billing Profile & Reimbursement Data policy alerts

Gregg Pearson — Billing Profile & Reimbursement Data

Sign up for Gregg Pearson — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	33	13,640	130	$90	$23.6K
99213	1,187	14,090	100	$70	$13.1K
99215	1,295	3,750	40	$140	$12K
G0439	50	3,370	70	$120	$11.5K
20610	786	1,110	80	$60	$10K
90694	329	1,460	70	$70	$8.4K
99496	8	650	20	$210	$5.8K
90670	2	30	10	$250	$5.2K
99497	29	1,060	40	$60	$5K
96116	4	70	40	$70	$4.6K