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.

James Crowley (NPI 1104077817)

Field	Value
Entity Type	Individual
Organization	James Crowley
Address	39 Professional Way Ste 1
City	Payson
State	UT
ZIP	84651
Taxonomy	Physician Assistant
NPI Enumerated	October 1, 2008

Payer Source	Total Paid
Medicare	$18.1K
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
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…	150	$50	$7.1K
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…	60	$70	$4K
69210	The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.	130	$30	$3.3K
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	$70	$1.7K
99203	The provider sees a new 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 provider…	20	$60	$1.3K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	30	$30	$630

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. Utah Distribution

James Crowley — 0 of 6 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

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	2,469	4,080	80	$80	$11.6K
99213	846	3,680	60	$50	$6.4K
99204	902	1,790	30	$100	$4.1K
99203	762	1,360	30	$70	$2.7K
99212	344	680	30	$40	$1.9K
69210	10	110	30	$30	$1.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mountain View Hospital, Inc.	UT	General Acute Care Hospital	$0	$6.1M
Steps Recovery Centers	UT	Psychiatric Residential Treatment Facility	$0	$3.1M
Payson City Corporation	UT	Land Ambulance	$79.7K	$1.2M
Gary Behrmann	UT	Pediatric Adolescent Medicine Physician	$0	$1.1M
Elk Ridge Assisted Living	UT	Community Health Clinic/Center	$0	$1.1M
David Savage	UT	Foot & Ankle Surgery Podiatrist	$813.4K	$0
Robert Baird	UT	Dentist	$0	$707.4K
Cascade Family Dental	UT	General Practice Dentistry	$0	$655.3K
John Weber	UT	Dentist	$0	$361.7K
Chad Farley	UT	Neurological Surgery Physician	$302.8K	$0

James Crowley — Billing Profile & Reimbursement Data

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James Crowley — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References