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.

William Kole (NPI 1174587380)

Field	Value
Entity Type	Individual
Organization	William Kole
Address	43401 Schoenherr Rd
City	Sterling Heights
State	MI
ZIP	48313
Taxonomy	Interventional Pain Medicine Physician
NPI Enumerated	April 14, 2006

Payer Source	Total Paid
Medicare	$172.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	2,170	$60	$132.1K
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…	190	$80	$15.4K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	220	$50	$10.6K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	520	$10	$6.3K
99204	The provider sees a new 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 provider…	30	$110	$3.8K
62323	The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…	20	$200	$3.2K
99442	N/A	30	$20	$410
J1100	Injection, dexamethasone sodium phosphate, 1 mg	240	$0	$0

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Michigan Distribution

William Kole — 2 of 7 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

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	3,797	15,470	80	$80	$11.4K
62323	199	220	40	$150	$11.2K
99490	112	450	100	$50	$10.4K
99213	5	14,810	60	$60	$6.6K
99204	2,554	6,280	30	$110	$4.2K
99442	321	730	30	$50	$2.6K
80305	2	110	40	$10	$1K
J1100	268	560	230	$1	$50

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
M & R Home Assistance LLC	MI	In Home Supportive Care Agency	$0	$19.5M
Umbrellex Behavioral Health Services	MI	Clinical Social Worker	$0	$8.4M
Crawl Walk Jump Run Therapy Clinic LLC	MI	Physical Therapist	$0	$7.9M
Bhadresh Nayak	MI	Hematology & Oncology Physician	$411.7K	$0
Kuldip Deogun	MI	Interventional Pain Medicine Physician	$370.7K	$0
Frank Diponio	MI	Family Medicine Physician	$161.9K	$0
Steven Shepherd	MI	Family Medicine Physician	$145.3K	$0
Uzma Rehman	MI	Orthopaedic Surgery Physician	$73.8K	$0
Eleanor Kulis	MI	Psychiatry Physician	$72K	$0
Fredric Neumann	MI	Family Medicine Physician	$69.8K	$0

William Kole — Billing Profile & Reimbursement Data

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William Kole — 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