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 District of Columbia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to District of Columbia 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. District of Columbia (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 Hughes (NPI 1194256297)

Field	Value
Entity Type	Individual
Organization	John Hughes
Address	5215 Loughboro Rd Nw
City	Washington
State	DC
ZIP	20016
Taxonomy	Internal Medicine Physician
NPI Enumerated	March 21, 2017

Payer Source	Total Paid
Medicare	$131.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	550	$100	$55.1K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	210	$150	$31K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	100	$150	$14.3K
90677	This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…	50	$280	$12.4K
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…	100	$70	$6.7K
90662	This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…	50	$70	$3.7K
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	10	$190	$2.1K
G0008	Administration of influenza virus vaccine	60	$40	$2K
99443	N/A	10	$120	$1.6K
G0009	Administration of pneumococcal vaccine	50	$30	$1.5K

Showing 1–10 of 12

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. District of Columbia Distribution

John Hughes — 0 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — District of Columbia

Full comparison — all codes billed, vs. state median

12 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	80	1,400	90	$100	$15.3K
99215	187	660	50	$130	$12.3K
G0439	20	250	60	$140	$12.2K
99213	399	1,200	50	$70	$8.5K
90677	12	120	20	$280	$6.7K
99443	55	60	30	$100	$4.6K
G0438	34	40	20	$190	$4.1K
90662	38	130	30	$70	$3.1K
G0008	75	270	30	$30	$2K
93000	129	220	50	$10	$1.7K

Showing 1–10 of 12

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Johns Hopkins Community Physicians, Inc	MD	Internal Medicine Physician	$0	$12.8M
Carmen Salvaterra	MD	Pulmonary Disease Physician	$8.9M	$0
Daniel Kim	MD	Cardiovascular Disease Physician	$440K	$0
Alan Schneider	MD	Clinical Cardiac Electrophysiology Physician	$360.1K	$0
Daniel Schwartz	MD	Cardiovascular Disease Physician	$299.9K	$0
Maryam Mohammadi	DC	Cardiovascular Disease Physician	$272.6K	$0
Mark Milner	MD	Cardiovascular Disease Physician	$267.4K	$0
Shahab Bavani	MD	Internal Medicine Physician	$260.1K	$0
Kim Goring	MD	Critical Care Medicine (Internal Medicine) Physician	$253.8K	$0
Jahanbakhsh Naghshin	VA	Pulmonary Disease Physician	$250.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lucy Webb Hayes National Training School For Deaconesses & Missionarie	DC	General Acute Care Hospital	$0	$19.1M
Jeffrey Steinberg	DC	Foot & Ankle Surgery Podiatrist	$13.3M	$0
Friendship Place	DC	Case Management Agency	$0	$5.6M
Wisconsin Ave Psychiatric Center Inc	DC	Psychiatric Hospital	$0	$3.1M
Iona Senior Services	DC	Adult Health Nurse Practitioner	$0	$1.1M
Mary Ella Carter	DC	Plastic Surgery Physician	$942.2K	$0
Jaydot LLC	DC	Case Management Agency	$0	$820.6K
Edward Tanner	DC	Gynecologic Oncology Physician	$786.3K	$2.1K
Brandi Page	DC	Radiation Oncology Physician	$761K	$0
Joshua Yamamoto	DC	Cardiovascular Disease Physician	$688.3K	$0

John Hughes — Billing Profile & Reimbursement Data

Sign up for John Hughes — Billing Profile & Reimbursement Data policy alerts

John Hughes — Billing Profile & Reimbursement Data

Sign up for John Hughes — 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