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

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

John Benner (NPI 1114960564)

Field	Value
Entity Type	Individual
Organization	John Benner
Address	915 Old Fern Hill Rd
City	West Chester
State	PA
ZIP	19380
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	June 14, 2006

Payer Source	Total Paid
Medicare	$257K
Medicaid	$0

Medicare: Complete Services Breakdown

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

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J7326	Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	120	$410	$49.4K
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…	660	$70	$44.2K
J3304	Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	2,980	$10	$38.7K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	650	$60	$38.2K
J7327	Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	40	$550	$20.7K
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…	170	$80	$13.8K
J7331	Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg	940	$10	$10.3K
J7329	Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg	1,150	$10	$8.1K
J7324	Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	70	$100	$7.2K
73562	In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.	150	$30	$4.8K

Showing 1–10 of 26

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Pennsylvania Distribution

John Benner — 3 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

26 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J7329	88	110	3,020	$10	$29.7K
J3304	13	70	1,570	$10	$27.6K
J7327	31	80	30	$550	$24.8K
J7326	10	110	30	$400	$21K
99214	18,726	23,230	100	$80	$14.5K
J7331	2	10	1,180	$10	$13.6K
J7324	50	100	70	$100	$9.6K
99213	550	22,370	70	$60	$7.7K
20610	43	1,980	60	$50	$6.7K
99203	213	7,330	30	$70	$3.5K

Showing 1–10 of 26

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Premier Orthopaedic And Sports Medicine Associates, Ltd	PA	Orthopaedic Surgery Physician	$0	$7.1M
Jennifer Kwan-morley	PA	Rheumatology Physician	$2.5M	$0
Michael Shriver	OH	Diagnostic Radiology Physician	$1.1M	$0
Stephanie Morris	PA	Rheumatology Physician	$742.6K	$0
Stephen Pomeranz	OH	Diagnostic Radiology Physician	$642.3K	$0
Cheston Simmons	PA	Orthopaedic Surgery Physician	$570.3K	$0
Nikos Pavlides	PA	Orthopaedic Surgery Physician	$448.3K	$0
Larry Chou	PA	Physical Medicine & Rehabilitation Physician	$444.8K	$0
Andrew Old	PA	Orthopaedic Surgery Physician	$420.7K	$0
Kevin Walsh	PA	Sports Medicine (Family Medicine) Physician	$336.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Theraplay, LLC	PA	Occupational Therapist	$0	$38.5M
The Devereux Foundation	PA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$29.7M
County Of Chester	PA	Case Management Agency	$0	$19.5M
Chester County Hospital	PA	General Acute Care Hospital	$410	$10.2M
Bruce Saran	PA	Ophthalmology Physician	$2.9M	$0
Michael Ward	PA	Ophthalmology Physician	$2.7M	$0
Muve - West Chester Ambulatory Surgical Center, LLC	PA	Ambulatory Surgical Clinic/Center	$2.4M	$0
Michael Rosen	PA	Internal Medicine Physician	$1.5M	$0
West Chester Endoscopy LLC	PA	Endoscopy Clinic/Center	$1.3M	$0
Good Fellowship Club Of Chester County, Inc.	PA	Land Ambulance	$591.2K	$585K

John Benner — 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