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

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

Nicholas Kovacs (NPI 1164927745)

Field	Value
Entity Type	Individual
Organization	Nicholas Kovacs
Address	900 11th St Se
City	Bandon
State	OR
ZIP	97411
Taxonomy	Emergency Medicine Physician
NPI Enumerated	March 27, 2018

Payer Source	Total Paid
Medicare	$39.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	190	$80	$15.7K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	80	$170	$13.2K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	30	$140	$4.8K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	100	$50	$4.5K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	250	$10	$1.3K
76705	An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…	20	$20	$300

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Oregon Distribution

Nicholas Kovacs — 2 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oregon

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	106	680	90	$130	$13.7K
99291	19	740	30	$160	$8.5K
99284	14	740	50	$80	$5.5K
93010	34	560	100	$10	$1.6K
99283	10	390	20	$50	$1.5K
76705	29	220	30	$20	$1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Siskiyou Hospital, Inc.	CA	Critical Access Hospital	$0	$74.9M
Asante	OR	General Acute Care Hospital	$0	$29.7M
Asante Three Rivers Medical Center, LLC	OR	General Acute Care Hospital	$0	$27.7M
Babak Baharloo	TX	Podiatrist	$18.3M	$0
Asante Ashland Community Hospital, LLC	OR	General Acute Care Hospital	$0	$9M
Memorial Hospital	NH	Critical Access Hospital	$0	$7.4M
Asante	OR	General Acute Care Hospital	$0	$5.3M
Asante Three Rivers Medical Center LLC	OR	General Acute Care Hospital	$0	$5.2M
Mainehealth	ME	General Acute Care Hospital	$0	$4.3M
Southern Coos Health District	OR	Critical Access Hospital	$0	$3.5M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jonathon Park	OR	Family Medicine Physician	$83.8K	$11.8K
Anna Dodd	OR	Family Nurse Practitioner	$94.4K	$0
Nicole Rush	OR	Optometrist	$84.2K	$2.3K

Nicholas Kovacs — Billing Profile & Reimbursement Data

Sign up for Nicholas Kovacs — Billing Profile & Reimbursement Data policy alerts

Nicholas Kovacs — Billing Profile & Reimbursement Data

Sign up for Nicholas Kovacs — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References