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

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

Michael Anderson (NPI 1124406186)

Field	Value
Entity Type	Individual
Organization	Michael Anderson
Address	1000 Pocatello Creek Rd Ste E10
City	Pocatello
State	ID
ZIP	83201
Taxonomy	Family Medicine Physician
NPI Enumerated	May 11, 2015

Payer Source	Total Paid
Medicare	$8.5K
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
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	30	$110	$3.1K
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…	40	$80	$2.8K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	20	$70	$1.5K
G0446	Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	30	$20	$620
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	10	$20	$290
G0444	Annual depression screening, 5 to 15 minutes	10	$20	$210

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. Idaho Distribution

Michael Anderson — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	2,033	2,690	90	$70	$10.4K
G0439	414	530	60	$110	$8.9K
99497	80	110	40	$60	$4.4K
G0446	7	10	60	$20	$2K
G0444	91	100	50	$20	$1.1K
G0447	3	10	30	$20	$1.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shoshone Bannock Tribes, Inc	ID	Clinic/Center	$0	$1.7M
Joy Taylor	ID	Nurse Practitioner	$102.7K	$0
Timothy Lee	ID	Physical Therapist	$102.1K	$0
David Francis	ID	Emergency Medicine Physician	$78.4K	$0
Dan Hunting	ID	Family Nurse Practitioner	$75.9K	$0
Amy Belnap	ID	Child & Adolescent Psychiatric/Mental Health Registered Nurse	$63.5K	$0
Rebecca Privon	MS	Registered Nurse	$62.4K	$0
Stevie Miller	ID	Family Nurse Practitioner	$62.2K	$0
Scot Klein	ID	Family Nurse Practitioner	$60.4K	$0
Lisa Henderson	ID	Nurse Practitioner	$54.4K	$0

Michael Anderson — Billing Profile & Reimbursement Data

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Michael Anderson — 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

Frequently Asked Questions

References