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

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

John Foss (NPI 1184604464)

Field	Value
Entity Type	Individual
Organization	John Foss
Address	1903 S 6th St
City	Brainerd
State	MN
ZIP	56401
Taxonomy	Oral and Maxillofacial Surgery (Dentist)
NPI Enumerated	January 20, 2006

Payer Source	Total Paid
Medicare	$3.1K
Medicaid	$0

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
40808	The provider performs a biopsy, a surgical procedure in which the provider excises a sample of the tissues from the vestibule of a patient’s mouth. He commonly performs this procedure to diagnose an…	20	$130	$2K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	20	$50	$1.1K

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. Minnesota Distribution

John Foss — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
40808	1	10	20	$130	$2K
99202	128	360	20	$50	$1.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. Joseph's Medical Center	MN	General Acute Care Hospital	$0	$41.5M
Mille Lacs Band Of Ojibwe Indians	MN	Substance Abuse Rehabilitation Facility	$0	$17.5M
Minnesota Teen Challenge, Inc	MN	Substance Abuse Rehabilitation Facility	$0	$14.4M
Valhalla Place Brainerd LLC	MN	Methadone Clinic	$195.5K	$8.8M
Edgewood Brainerd Senior Living LLC	MN	Assisted Living Facility	$0	$8.7M
Prs Transportation Services, Inc.	MN	Non-emergency Medical Transport (VAN)	$0	$6.9M
Minnesota Specialty Health Systems-brainerd	MN	Mental Illness Community Based Residential Treatment Facility	$0	$6.2M
Independent School Dist 181 Crow Wing County	MN	Local Education Agency (LEA)	$0	$5.2M
Nathan Hilton	MN	Radiation Oncology Physician	$1.2M	$0
David Sabir	MN	Ophthalmology Physician	$274.9K	$0

John Foss — Billing Profile & Reimbursement Data

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John Foss — 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