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

Why is the Medicaid comparison limited to Connecticut 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. Connecticut (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 Cooke (NPI 1114925591)

Field	Value
Entity Type	Individual
Organization	Paul Cooke
Address	201 Chestnut Hill Rd
City	Stafford Springs
State	CT
ZIP	06076
Taxonomy	Anesthesiology Physician
NPI Enumerated	July 11, 2005

Payer Source	Total Paid
Medicare	$17.5K
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
00811	The provider performs anesthesia services for a patient undergoing an unspecified lower intestinal endoscopic procedure where the surgical provider introduces an endoscope into the intestines up to…	130	$50	$6.5K
00731	The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…	70	$50	$3.2K
00812	The provider performs anesthesia services for a patient undergoing a screening colonoscopy during which the surgical provider introduces an endoscope into the intestines below the duodenum, the part…	60	$50	$2.8K
00813	The anesthesia provider performs anesthesia services for a patient undergoing both upper and lower intestinal endoscopy where the surgical provider introduces an endoscope into the intestines above…	50	$60	$2.6K
00918	The provider performs anesthesia services for a patient undergoing fragmentation, manipulation, and/or removal of a ureteral calculus. The surgical provider accesses the ureter through the urethra,…	20	$100	$2.3K

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. Connecticut Distribution

Paul Cooke — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
00811	18	450	30	$70	$2.9K
00813	29	270	20	$90	$2.3K
00812	24	250	20	$70	$2.1K
00731	31	550	20	$80	$2K
00918	4	20	20	$100	$1.6K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Holyoke Medical Center, Inc.	MA	General Acute Care Hospital	$0	$125.1M
Sidney Kahn Iv	MA	Vascular & Interventional Radiology Physician	$945K	$0
Yuyang Zhang	MD	Diagnostic Radiology Physician	$920.4K	$0
Rachel Nelson	TN	Diagnostic Radiology Physician	$383.2K	$0
Michael Chill	MA	Diagnostic Radiology Physician	$372.2K	$410
Alexander Harvin	IA	Diagnostic Radiology Physician	$353.1K	$0
Ghousia Alikhan	MA	Rheumatology Physician	$329.8K	$0
Robert Yohannan	NY	Nephrology Physician	$290.1K	$0
John Nicasio	MA	Endocrinology, Diabetes & Metabolism Physician	$280.9K	$0
Alice Mary Graham-brown	MA	Psychiatry Physician	$155.1K	$118.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Johnson Memorial Hospital, Inc.	CT	General Acute Care Hospital	$0	$22.3M
Stafford Public Schools	CT	Local Education Agency (LEA)	$0	$1.1M
Susan Parker	CT	Anatomic Pathology & Clinical Pathology Physician	$48.4K	$0
Brian Fry	CT	Physician Assistant	$43.4K	$0
Dawn Froonjian	CT	Family Nurse Practitioner	$33.1K	$0

Paul Cooke — Billing Profile & Reimbursement Data

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Paul Cooke — 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

Nearby Providers

Frequently Asked Questions

References