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

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

Kirk Waldron (NPI 1215599105)

Field	Value
Entity Type	Individual
Organization	Kirk Waldron
Address	770 S 200 E Ste 102
City	Brigham City
State	UT
ZIP	84302
Taxonomy	Family Nurse Practitioner
NPI Enumerated	July 1, 2019

Payer Source	Total Paid
Medicare	$44.2K
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…	330	$50	$17.2K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	390	$20	$7.4K
20553	Trigger point injection, or TPI, is a medical procedure in which the provider injects an anesthetic or corticosteroid substance into three or more muscles to relieve painful areas or knots in muscles…	170	$40	$6.5K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	460	$10	$6.4K
99203	The provider sees a new 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 provider…	40	$70	$2.6K
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…	30	$70	$2.2K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	60	$20	$1.4K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	20	$20	$440

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. Utah Distribution

Kirk Waldron — 1 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	334	640	410	$20	$13.3K
97530	333	370	290	$20	$12.1K
99214	3,096	4,080	80	$80	$11.6K
97140	165	500	280	$20	$6.8K
99213	273	3,680	60	$50	$6.4K
97535	66	80	40	$20	$3.4K
99203	438	1,360	30	$70	$2.7K
20553	2	60	40	$40	$2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tyler D'hulst	UT	Physician Assistant	$38.2K	$0
Thomas Rayner	UT	Psychiatry Physician	$10.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northwestern Band Of The Shoshone	UT	General Practice Physician	$0	$8.5M
Brigham City Community Hospital, Inc.	UT	General Acute Care Hospital	$0	$5.8M
Beecon Recovery Inc	UT	Substance Use Disorder Rehabilitation Clinic/Center	$0	$3.8M
Brigham City Corporation	UT	Land Ambulance	$209.1K	$1.9M
Box Elder School District Preschool	UT	Local Education Agency (LEA)	$0	$1.4M
Advantage Medical Supply, Inc.	UT	Oxygen Equipment & Supplies (DME)	$0	$915.1K
Medical Arts Center Clinic Of Brigham City Inc	UT	Family Medicine Physician	$0	$826.8K
Brigham Medical Clinic, Inc.	UT	Family Medicine Physician	$0	$460.2K
Scott Turner	UT	Specialist	$451.9K	$0
Apex Youth Services Excel	UT	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$345.3K

Kirk Waldron — Billing Profile & Reimbursement Data

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Kirk Waldron — 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