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

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

Craig Foley (NPI 1164528964)

Field	Value
Entity Type	Individual
Organization	Craig Foley
Address	1508 E Skyline Dr Ste 600
City	Ogden
State	UT
ZIP	84405
Taxonomy	Colon & Rectal Surgery Physician
NPI Enumerated	September 16, 2006

Payer Source	Total Paid
Medicare	$4.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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	$80	$1.9K
45384	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions using hot biopsy…	10	$150	$1.6K
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…	20	$60	$1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Utah Distribution

Craig Foley — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	3,254	3,680	60	$50	$6.4K
99203	762	1,360	30	$70	$2.7K
45384	1	10	10	$150	$1.6K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbia Ogden Medical Center, Inc.	UT	General Acute Care Hospital	$0	$17.6M
Carl Gray	UT	Hematology & Oncology Physician	$3.9M	$1.7M
Amer Homsi	UT	Vascular Surgery Physician	$3.9M	$0
Ihc Health Services Inc	UT	Home Health Agency	$0	$2.4M
Weber School District	UT	Local Education Agency (LEA)	$0	$2.4M
Applegate Homecare & Hospice, LLC	UT	Home Health Agency	$0	$2.3M
Associates Of Pathology, P.C.	UT	Anatomic Pathology & Clinical Pathology Physician	$0	$1M
Mountainstar Ogden Pediatrics LLC	UT	Pediatrics Physician	$0	$1M
Connect2kids	UT	Foster Care Agency	$0	$986.4K
Apria Healthcare LLC	UT	Durable Medical Equipment & Medical Supplies	$0	$905K

Craig Foley — Billing Profile & Reimbursement Data

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Craig Foley — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References