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

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

Harry Malcolm (NPI 1144251166)

Field	Value
Entity Type	Individual
Organization	Harry Malcolm
Address	9940 N County Hwy K
City	Hayward
State	WI
ZIP	54843
Taxonomy	Family Medicine Physician
NPI Enumerated	July 6, 2006

Payer Source	Total Paid
Medicare	$64.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	210	$90	$17.7K
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…	100	$130	$12.7K
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…	140	$60	$8.1K
90662	This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…	60	$70	$4.4K
99442	N/A	40	$70	$2.9K
99443	N/A	30	$90	$2.4K
G0008	Administration of influenza virus vaccine	80	$30	$2.2K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	220	$10	$2.2K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	240	$10	$2K
90480	The provider administers the first or only component of a SARS–CoV–2 (COVID–19) vaccine by intramuscular injection to reduce the patient's risk of contracting COVID–19.	50	$40	$1.9K

Showing 1–10 of 26

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wisconsin Distribution

Harry Malcolm — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. state median

26 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
82746	15	20	150	$10	$15.9K
99214	1,751	9,800	80	$70	$9.2K
99215	508	3,320	30	$110	$6.3K
80053	55	450	40	$10	$6.3K
84443	80	330	30	$20	$6.2K
82607	47	90	20	$10	$5.2K
90662	542	1,640	40	$70	$5.2K
80061	85	530	40	$10	$5.1K
99213	1,674	9,380	60	$50	$4.7K
90480	688	1,210	70	$30	$4.5K

Showing 1–10 of 26

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Duluth Clinic, Ltd	MN	Multi-Specialty Clinic/Center	$0	$51.7M
St. Mary's Hospital Of Superior	WI	Critical Access Hospital	$0	$13.4M
John Thompson	MD	Ophthalmology Physician	$3.9M	$0
St. Mary's Hospital Of Superior	WI	Critical Access Hospital Clinic/Center	$0	$1.6M
Kim Ogle	WI	Internal Medicine Physician	$211.8K	$0
Bryan Austin	WI	Cardiovascular Disease Physician	$131.4K	$0
Julia Montgomery	MN	Clinical Cardiac Electrophysiology Physician	$129K	$0
Brianne Sable	WI	Physician Assistant	$121.5K	$0
Michael Rich	MN	Cardiovascular Disease Physician	$98.5K	$0
Margaret Chen	MN	Internal Medicine Physician	$94.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Medical Services, Inc	WI	Critical Access Hospital	$0	$14.7M
County Of Sawyer	WI	Public Health or Welfare Agency	$0	$4M
Lac Courte Oreilles Governing	WI	Federally Qualified Health Center (FQHC)	$0	$2.5M
County Of Sawyer	WI	Land Ambulance	$354.2K	$541.4K
Wal-mart Stores East LP	WI	Community/Retail Pharmacy	$112.8K	$4.2K

Harry Malcolm — Billing Profile & Reimbursement Data

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Harry Malcolm — 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