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

Why is the Medicaid comparison limited to Utah 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. Utah (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 House (NPI 1083704688)

Field	Value
Entity Type	Individual
Organization	Paul House
Address	5171 S Cottonwood St Ste 950
City	Murray
State	UT
ZIP	84107
Taxonomy	Neurological Surgery Physician
NPI Enumerated	October 13, 2006

Payer Source	Total Paid
Medicare	$18.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
61886	The provider makes an incision and implants or replaces a direct or inductive cranial pulse generator or receiver in a subcutaneous pocket for connection to two or more electrode arrays, often one on…	20	$640	$13.4K
99204	The provider sees a new 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 provider…	30	$120	$4K
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…	10	$90	$1.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Utah Distribution

Paul House — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
61886	1	10	20	$640	$13.4K
99214	4,003	4,080	80	$80	$11.6K
99204	681	1,790	30	$100	$4.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brandon Lawrence	UT	Orthopaedic Surgery Physician	$219.6K	$0
Nicholas Spina	WA	Orthopaedic Surgery of the Spine Physician	$126.3K	$0
William Spiker	UT	Orthopaedic Surgery of the Spine Physician	$119.8K	$0
James Pingree	UT	Neurological Surgery Physician	$94.3K	$0
Ramesh Grandhi	UT	Neurological Surgery Physician	$74.6K	$0
Randy Jensen	UT	Neurological Surgery Physician	$72.2K	$0
Philipp Taussky	MA	Neurological Surgery Physician	$47.9K	$0
Sarah Menacho	UT	Neurological Surgery Physician	$46.4K	$0
Peter Maughan	UT	Neurological Surgery Physician	$43K	$0
Karol Budohoski	UT	Neurological Surgery Physician	$40.1K	$0

Paul House — Billing Profile & Reimbursement Data

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Paul House — 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