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

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

Andrew Yosim (NPI 1174132195)

Field	Value
Entity Type	Individual
Organization	Andrew Yosim
Address	Corner Of Route N12 And N7
City	Fort Defiance
State	AZ
ZIP	86504
Taxonomy	Physician Assistant
NPI Enumerated	July 27, 2020

Payer Source	Total Paid
Medicare	$1.6K
Medicaid	$0

Key Findings

This provider’s payer mix is effectively single-payer Medicare: lifetime Medicare revenue is $1.6K and there is no Medicaid billing on file. The absence of Medicaid activity indicates negligible state-program exposure and that all documented public-payer revenue is concentrated in Medicare.

Medicare revenue is highly concentrated in a very small set of E/M services: the precomputed top-3 Medicare codes account for 100.0% of this provider’s Medicare revenue. The two listed codes alone generate $936 (60.0%) and $624 (40.0%) respectively, so revenue dependency on routine E/M codes is complete in the available dataset.

The top revenue driver is 99282 (emergency department E/M, straightforward MDM): 36 claims produced $936 in revenue with an average paid per claim of $26. This code accounts for $936 (60.0%) of Medicare revenue and is recorded as ranking #287 of 3059 providers nationally (90th percentile; typical, unremarkable volume for this code), indicating activity that the dataset labels as typical rather than an outlier.

The secondary driver is 99213 (established patient office/outpatient E/M, low MDM or ≥20 minutes total time): 16 claims produced $624 in revenue with an average paid per claim of $39. This code accounts for $624 (40.0%) of Medicare revenue and ranks #422759 of 457151 providers nationally (6th percentile; typical, unremarkable volume for this code), showing modest use of routine office E/M relative to the large national cohort.

Operationally, the mix of 99282 and 99213 suggests a practice pattern focused on short, routine evaluation-and-management encounters split between emergency-department/urgent-care–style visits and office-based established-patient visits. The code descriptions imply straightforward decision-making levels rather than complex procedures or specialty diagnostics, consistent with the Physician Assistant taxonomy.

Despite the 90th percentile rank listed for 99282, the plain-English statistical labels for both codes are 'typical, unremarkable volume for this code,' and the provider’s total Medicare revenue of $1.6K is small in absolute terms. Together these facts indicate this provider is a modest participant in national Medicare billing for these E/M codes rather than a dominant or high-revenue operator.

Tenure in public payer records is relatively recent: the NPI was enumerated on 2020-07-27 (~6 years ago). The roughly six-year footprint combined with low lifetime Medicare revenue suggests limited billing activity during the enumerated period.

For payer or network analysts, the key takeaways are scale and concentration: small overall Medicare receipts ($1.6K), no Medicaid activity, and complete reliance on routine E/M codes (top-3 = 100.0%). This profile has implications for contracting, panel capacity, and the likelihood that the provider’s clinical activity is concentrated in frontline, lower-complexity encounters rather than specialty services.

Medicare: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	40	$30	$940
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	$40	$620

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Arizona Distribution

Andrew Yosim — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arizona

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	7	9,600	80	$60	$9.6K
99282	1	80	20	$30	$850

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Fort Defiance Indian Hospital Board, Incorporation	AZ	General Acute Care Hospital	$0	$13M
Bernadette Giangreco	AZ	Podiatrist	$174.6K	$0
Evan Ross	AZ	Foot & Ankle Surgery Podiatrist	$108.5K	$0
William Reno	AZ	Certified Registered Nurse Anesthetist	$60.3K	$0
Christian Gomez-castro	AZ	Diagnostic Radiology Physician	$33.4K	$0
James Villareal	AZ	Emergency Medicine Physician	$32.1K	$0
Amber Heym	AZ	Emergency Medicine Physician	$8.8K	$0
Tyrone Walker	AZ	Emergency Medicine Physician	$8K	$0
Charles Page	AZ	Emergency Medicine Physician	$6.6K	$0
Miriam Rollason	AZ	Physician Assistant	$4.9K	$0

Andrew Yosim — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References