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.

Joel Carlson (NPI 1144200916)

Field	Value
Entity Type	Individual
Organization	Joel Carlson
Address	777 Hospital Way
City	Pocatello
State	ID
ZIP	83201
Taxonomy	Obstetrics & Gynecology Physician
NPI Enumerated	January 18, 2006

Payer Source	Total Paid
Medicare	$4.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	50	$50	$2.3K
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…	20	$60	$1.2K
G0101	Cervical or vaginal cancer screening; pelvic and clinical breast examination	20	$30	$400
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	20	$20	$270

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Idaho Distribution

Joel Carlson — 0 of 4 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

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	1,715	2,770	70	$50	$5.7K
99203	644	1,030	30	$60	$2.5K
G0101	23	40	20	$30	$720
Q0091	7	10	20	$30	$610

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Luke's Clinic LLC	ID	Family Medicine Physician	$0	$39.5M
St Lukes Clinic - Wood River LLC	ID	Internal Medicine Physician	$0	$720.5K
St Lukes Clinic - Mccall LLC	ID	Family Medicine Physician	$0	$575.7K
Garrett Coman	ID	Dermatology Physician	$186.9K	$0
Jason Greenhalgh	ID	Urology Physician	$178.8K	$0
Matthew Reeck	ID	Dermatology Physician	$172.1K	$0
Matthew Kopplin	MT	Orthopaedic Surgery Physician	$158.2K	$0
James Abbott	ID	Dermatology Physician	$94.7K	$0
Seth Wheeler	ID	Gastroenterology Physician	$90.7K	$0
Dan Fairman	ID	Internal Medicine Physician	$76.6K	$0

Joel Carlson — Billing Profile & Reimbursement Data

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Joel Carlson — 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