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

Why is the Medicaid comparison limited to Alabama 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. Alabama (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 Touliatos (NPI 1194701201)

Field	Value
Entity Type	Individual
Organization	John Touliatos
Address	3686 Grandview Pkwy 400
City	Birmingham
State	AL
ZIP	35243
Taxonomy	Surgery Physician
NPI Enumerated	December 20, 2005

Payer Source	Total Paid
Medicare	$75.1K
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
22558	The provider performs arthrodesis, also known as spinal fusion, in the lower back, to permanently join two vertebrae, the interlocking bones of the spine, to alleviate persistent pain caused by a…	60	$720	$39.4K
43281	The provider performs repair of a paraesophageal hernia, where the stomach slides up next to the esophagus, using laparoscopy. He may also perform fundoplasty, wrapping part of the stomach around the…	20	$1,120	$22.4K
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…	50	$110	$5.3K
22585	The provider performs arthrodesis, also known as spinal fusion, to permanently join two vertebrae, the interlocking bones of the spine, to alleviate persistent pain caused by a herniated, or bulging,…	20	$160	$3.8K
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…	40	$60	$2.2K
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…	20	$90	$2K

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. Alabama Distribution

John Touliatos — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	6,497	7,330	120	$80	$16.8K
43281	1	10	10	$1,050	$15.7K
22558	5	40	20	$520	$13.6K
99213	4,578	6,470	80	$50	$7.9K
99204	1,245	3,750	30	$100	$4.8K
22585	5	10	30	$110	$3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
William Pennington	AL	Surgery Physician	$95.8K	$0
George Bishop	AL	Surgery Physician	$69.7K	$0
Michael Crain	AL	Pulmonary Disease Physician	$34.2K	$0
William Thompson	AL	Specialist	$34.1K	$0
Steven Scarcliff	AL	Colon & Rectal Surgery Physician	$31.5K	$0
Barton Wood	AL	Surgery Physician	$29.3K	$0
Timothy Christopher	AL	Surgery Physician	$27.4K	$0
Stanley Hewlett	AL	Surgery Physician	$19.9K	$0
Andrew Frey	AL	Surgery Physician	$16.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Taustin Laboratories	AL	Clinical Medical Laboratory	$54.1K	$37M
The Children's Hospital Of Alabama	AL	Pediatric Otolaryngology Physician	$0	$15.8M
Wiregrass Hospice, LLC	AL	Community Based Hospice Care Agency	$0	$3.5M
Compassus Op Of Alabama LLC	AL	Community Based Hospice Care Agency	$0	$3.5M
Benjamin Jones	AL	Hematology & Oncology Physician	$2.4M	$0
Vuepoint Diagnostics, LLC	AL	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$1.3M	$181.3K
Continuumrx, Inc.	AL	Home Infusion Therapy Pharmacy	$0	$1.3M
Matthew Tucker	AL	Hematology & Oncology Physician	$1.3M	$0
Agape Care Alabama LLC	AL	Community Based Hospice Care Agency	$0	$1.1M
Affinity Hospital LLC	AL	General Acute Care Hospital	$0	$904.8K

John Touliatos — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References