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

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

Earl Johnson (NPI 1124252531)

Field	Value
Entity Type	Individual
Organization	Earl Johnson
Address	2755 Hartland Rd
City	Falls Church
State	VA
ZIP	22043
Taxonomy	Plastic Surgery Physician
NPI Enumerated	May 13, 2009

Payer Source	Total Paid
Medicare	$687K
Medicaid	$0

Medicare: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q4132	Grafix core and grafixpl core, per square centimeter (add-on, list separately in addition to primary procedure)	2,710	$240	$638.4K
13160	This procedure is performed on sites of injury such as abdominal wounds and/or contaminated lacerations to avoid infection and re–epithelialize new tissue.	20	$570	$10.9K
15271	The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the patient’s trunk, arms, and/or legs up to an area of 100 cm2. This code covers up to the first 25 cm2.	100	$110	$10.8K
15002	The provider incises the skin of a body part with an open wound, burn eschar, or scar contracture to prepare the site to receive a skin graft. This procedure helps in repairing an area of the trunk,…	50	$190	$9.1K
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…	90	$80	$6.7K
15004	The provider prepares the skin of a body part with an open wound, burn eschar, or scar contracture to receive a skin graft. This procedure helps in repairing areas of the face, scalp, eyelids, mouth,…	20	$220	$5.2K
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…	30	$90	$3.2K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	40	$60	$2.4K
15003	At the same encounter that the provider prepares 100 cm2 of a body part with an open wound, burn eschar, or scar contracture to receive a skin graft, he extends the site up to an additional 100 cm2.…	30	$40	$990
97606	The provider applies controlled subatmospheric pressure using durable medical equipment around the wound through a sealed dressing to remove fluids and infectious materials and to aid in healing of…	20	$20	$400

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Virginia Distribution

Earl Johnson — 2 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. state median

10 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4132	1	10	1,800	$240	$498K
15004	15	20	30	$270	$12.2K
13160	2	10	20	$590	$11.2K
99213	6,221	12,440	90	$60	$10K
15002	4	10	40	$180	$7.2K
15003	5	10	120	$30	$5.2K
99203	2,358	4,920	30	$70	$3.8K
15271	1	20	50	$80	$3.5K
99283	96	770	20	$50	$1.3K
97606	1	10	20	$20	$390

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Destiny Homecare LLC	VA	Home Health Agency	$0	$16.5M
All Secured Home Health Services, LLC	VA	Home Health Agency	$0	$13.3M
Vineet Mehan	VA	Plastic Surgery Physician	$464.7K	$0
Sandeep Bagla	VA	Vascular & Interventional Radiology Physician	$393K	$0
Natalia Kayloe	VA	Neurology Physician	$276.9K	$0
Jeegan Pandya	VA	Sports Physical Therapist	$128.6K	$0

Earl Johnson — Billing Profile & Reimbursement Data

Sign up for Earl Johnson — Billing Profile & Reimbursement Data policy alerts

Earl Johnson — Billing Profile & Reimbursement Data

Sign up for Earl Johnson — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References