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

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

Newton Coutinho (NPI 1124077334)

Field	Value
Entity Type	Individual
Organization	Newton Coutinho
Address	2419 Mullan Rd Ste A
City	Missoula
State	MT
ZIP	59808
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	May 8, 2006

Payer Source	Total Paid
Medicare	$329.2K
Medicaid	$0

Key Findings

This profile is concentrated in high-acuity outpatient cardiology services: the top revenue drivers are 99215 (1.3K claims, $126 avg paid/claim, $167.1K revenue), 93351 (312 claims, $186 avg paid/claim, $58K revenue) and 93306 (242 claims, $155 avg paid/claim, $37.5K revenue). The mix of high-level E/M visits (99215) together with stress and comprehensive transthoracic echocardiography (93351, 93306) indicates the provider operates as an outpatient cardiology practice that combines diagnostic imaging with complex office-based evaluation.

Revenue concentration is high: the precomputed top-3 codes by revenue account for 79.7% of this provider's total Medicare revenue, which creates reliance on a small set of services (chiefly 99215 and echo codes) to generate the bulk of the $329.2K Medicare lifetime revenue. Such concentration suggests that changes in demand, reimbursement, or referral patterns for these services would materially affect the provider’s revenue.

Payer mix is effectively single-payer Medicare: total Medicare revenue is $329.2K while Medicaid billing is none (no Medicaid billing on file). This means the provider’s publicly reported activity and financial footprint in our dataset are driven exclusively by Medicare encounters rather than a mix of Medicaid and Medicare.

Competitive standing on key services is outsized nationally: 99215 ranks #98 of 145531 providers (100th percentile; extreme outlier) and 93351 ranks #18 of 3862 providers (100th percentile; extreme outlier), signaling exceptionally high national volume for both high-level office E/M visits and supervised/continuous stress echocardiography. By contrast, 93306 is near typical national volume (rank #11227 of 24624; 54th percentile), indicating the provider is dominant for some specific cardiology services but more average for basic 2D echo.

Procedure-level signal shows unusually high volumes for several echocardiography and Doppler codes: 93320 (300 claims, $38 avg paid/claim, $11.4K revenue) ranks #14 of 7575 providers (100th percentile; extreme outlier) and 93325 (300 claims, $19 avg paid/claim, $5.7K revenue) ranks #49 of 11743 providers (100th percentile; extreme outlier). These rankings, together with the high counts for 93351, point to a practice workflow that schedules and performs large numbers of diagnostic and stress echo studies.

Billing mix includes substantial routine diagnostics and device follow-up consistent with a cardiology clinic: 93000 (812 claims, $11 avg paid/claim, $8.9K revenue) ranks #2329 of 71016 providers (97th percentile; notably above typical), and pacemaker/ICD adjustment codes 93288 (229 claims, $24 avg paid/claim, $5.5K revenue) and 93289 (41 claims, $41 avg paid/claim, $1.7K revenue) show active device management and follow-up in the patient panel. These services reinforce a longitudinal cardiology practice model that pairs imaging, E/M, and device care.

Tenure and continuity are substantial: the NPI was enumerated 2006-05-08 (~20 years ago), indicating a long-established provider presence in Missoula, MT. That tenure aligns with the concentrated service mix and high national ranks on select codes, consistent with an established referral base or specialized service line.

Several codes are labeled statistical outliers in national comparisons, which is meaningful for network and contracting analysis: extreme outlier designations appear for 99215, 93351, 93320 and 93325, while other codes such as 93000 and 93288 are described as notably above typical national volume. These outlier signals suggest the provider is a major regional resource for certain cardiology services and should be treated as a high-volume specialty resource in capacity and network planning.

Medicare: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	1,330	$130	$167.1K
93351	In this procedure, the provider performs continuous transthoracic echocardiography both at rest and after exercise and reviews images evaluating and assessing global and ventricular performance and…	310	$190	$58K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	240	$160	$37.5K
93320	The provider performs a complete Doppler echocardiography, which uses high–frequency sound waves to create a two–dimensional image of the heart, while the use of Doppler technology allows…	300	$40	$11.4K
99443	N/A	120	$90	$10.7K
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	810	$10	$8.9K
99205	The provider sees a new 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 provider…	50	$170	$8.7K
93325	The provider performs Doppler echocardiography, a diagnostic procedure based on the Doppler effect of sound, color flow velocity mapping, a two–dimensional image representation of blood flow in the…	300	$20	$5.7K
93880	Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…	40	$150	$5.6K
93288	In this service, the provider performs a face–to–face evaluation and then optimally adjusts the parameters of an already implanted single, dual, multiple lead, or leadless pacemaker system after…	230	$20	$5.5K

Showing 1–10 of 16

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Montana Distribution

Newton Coutinho — 8 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. state median

16 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93306	32	60	240	$70	$21.1K
99214	1,364	1,810	100	$70	$12.4K
93351	1	20	40	$140	$8.4K
99215	1	780	40	$100	$7.9K
99205	70	300	30	$140	$5.2K
93880	28	70	30	$60	$3K
99443	2	60	20	$70	$2.4K
93288	1	10	40	$20	$1.9K
94729	26	30	60	$10	$1.5K
93925	9	20	20	$80	$1.5K

Showing 1–10 of 16

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Missoula Community Health Services, Inc	MT	Multi-Specialty Clinic/Center	$0	$351.2K
Benjamin Lawson	MT	Nephrology Physician	$213.2K	$0
Edwin Butler	WY	Diagnostic Radiology Physician	$91.7K	$0
Tana Taylor	MT	Certified Registered Nurse Anesthetist	$89.1K	$0
Morgan Kellogg	MT	Cardiovascular Disease Physician	$70.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Consumer Direct Care Network Virginia	MT	Home Health Agency	$0	$2.1B
Consumer Direct Personal Care, LLC	MT	In Home Supportive Care Agency	$0	$49.1M
Hkj Inc	MT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$15.2M
We Care Behavioral Health LLC	MT	Clinic/Center	$0	$14.8M
Partners In Home Care, Inc	MT	Nursing Care Agency	$0	$13M
Hkj Inc	MT	Case Management Agency	$0	$11.6M
Sunburst Health LLC	MT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.1M
Providence Health & Services Mt	MT	Family Medicine Physician	$0	$4.9M
Welltower Tenant Group LLC	MT	Assisted Living Facility	$0	$3.8M
Norco, Inc	MT	Durable Medical Equipment & Medical Supplies	$0	$3.8M

Newton Coutinho — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References