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

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

Ashish Mishra (NPI 1164807541)

Field	Value
Entity Type	Individual
Organization	Ashish Mishra
Address	2799 W Grand Blvd
City	Detroit
State	MI
ZIP	48202
Taxonomy	Student in an Organized Health Care Education/Training Program
NPI Enumerated	July 27, 2015

Payer Source	Total Paid
Medicare	$45K
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
84165	The lab analyst performs the technical lab test to separate and quantitate components of serum protein in a process called serum protein electrophoresis, SPE, or SPEP. The electrophoretic…	1,830	$10	$23.7K
86320	The lab analyst performs immunoelectrophoresis, IEP, to evaluate a patient’s serum for the amounts and types of certain proteins, called immunoglobulins. The body produces immunoglobulins, also…	1,260	$10	$16.4K
84166	The lab analyst performs a test to separate and evaluate the level of various protein fractions in any specimen other than serum by electrophoresis.	220	$10	$2.9K
86325	The lab analyst performs immunoelectrophoresis, IEP, to evaluate a patient’s body fluid other than serum, such as urine or cerebrospinal fluid, with concentration, for the amounts and types of…	140	$10	$1.8K
86077	The lab analyst performs a cross match of a specimen that requires interpretation and a written report from the blood bank physician due to a difficult cross match, evaluation of irregular…	20	$40	$780

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. Michigan Distribution

Ashish Mishra — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
86320	1	10	1,260	$10	$16.3K
84165	5	80	150	$10	$5.8K
86077	7	10	40	$40	$1.8K
86325	1	10	140	$10	$1.8K
84166	11	50	90	$10	$1.7K

Ashish Mishra — Billing Profile & Reimbursement Data

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Ashish Mishra — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References