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

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

Anthony Knox (NPI 1134262348)

Field	Value
Entity Type	Individual
Organization	Anthony Knox
Address	1 Brickyard Ln Ste Ee
City	York
State	ME
ZIP	03909
Taxonomy	Neurology Physician
NPI Enumerated	February 15, 2007

Payer Source	Total Paid
Medicare	$67.9K
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
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…	340	$110	$36.1K
64616	The provider administers a chemical compound to the neck muscles on one side, avoiding the laryngeal muscles. The goal of this procedure is to paralyze the muscles. Providers may treat cervical…	90	$120	$11K
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…	120	$70	$8.7K
64615	The provider bilaterally administers a chemical compound to the muscles innervated by the trigeminal, facial, cervical spinal, and accessory nerves. The goal of this procedure is to paralyze the…	80	$90	$7.5K
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…	30	$140	$4.6K

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. Maine Distribution

Anthony Knox — 3 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	804	2,500	70	$70	$7.2K
64616	1	10	50	$120	$6.7K
99215	3	780	30	$100	$4.8K
99205	82	260	20	$140	$4K
64615	1	10	30	$80	$3.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
York Hospital	PA	Family Medicine Physician	$0	$6.2M
York Hospital	ME	General Acute Care Hospital	$0	$5.8M
George Gentchos	NJ	Diagnostic Radiology Physician	$335.4K	$0
Brian Keroack	ME	Specialist	$326.6K	$0
Edward Fels	ME	Specialist	$266.6K	$0
Peter Dourdoufis	NH	Cardiovascular Disease Physician	$254.4K	$0
Jeffrey Colnes	ME	Cardiovascular Disease Physician	$226K	$0
Julie Suarez	NH	Internal Medicine Physician	$175.2K	$0
Joshua Keller	ME	Rheumatology Physician	$175K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
York Ambulance Association, Inc.	ME	Land Ambulance	$288K	$242.7K
Joan Sisto	ME	Dermatology Physician	$420.7K	$0
Denture Crafters LLC.	ME	Denturist	$0	$354.4K
Ashley Mace	ME	Nurse Practitioner	$133.9K	$0
David Cunningham	ME	Clinical Cardiac Electrophysiology Physician	$132.9K	$0
Judith Fisher	ME	Dermatology Physician	$116.1K	$0
Jennifer Cutts	ME	Diagnostic Radiology Physician	$115.2K	$0
Stephen Morley	ME	Psychiatric/Mental Health Nurse Practitioner	$16K	$97.9K
Kira Wendorf	ME	Diagnostic Radiology Physician	$113.1K	$0
Nicholas Armellino	ME	Emergency Medicine Physician	$108.6K	$0

Anthony Knox — Billing Profile & Reimbursement Data

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Anthony Knox — 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