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

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

Timothy Cole (NPI 1215930144)

Field	Value
Entity Type	Individual
Organization	Timothy Cole
Address	7300 Eldorado Pkwy
City	Mckinney
State	TX
ZIP	75070
Taxonomy	Surgery Physician
NPI Enumerated	May 24, 2005

Payer Source	Total Paid
Medicare	$26.3K
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
49594	The provider uses any approach to perform initial repair of one or more anterior abdominal hernias with a total length of 3 cm to 10 cm. The hernias are incarcerated (trapped) or strangulated…	10	$540	$7.1K
49507	In this procedure, the provider surgically repairs an inguinal hernia that is incarcerated, meaning trapped, or strangulated, meaning the blood supply is cut off. Use this code for initial hernia…	20	$440	$7K
99205	The provider sees a new 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 provider…	40	$150	$6.1K
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…	80	$50	$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…	20	$100	$1.9K
15854	As an add–on to an evaluation and management service, the provider removes sutures and staples.	10	$10	$170

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. Texas Distribution

Timothy Cole — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	14,443	29,790	70	$60	$8.4K
49594	4	10	10	$490	$7.4K
99204	11,569	16,380	30	$110	$5.6K
99205	1,224	4,320	30	$150	$5.5K
49507	1	10	20	$250	$4K
15854	1	10	10	$10	$170

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kathryn Davis	TX	Surgical Physician Assistant	$1.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sval	TX	Clinical Medical Laboratory	$27.7M	$34.9K
Aunt Mae's Home Care	TX	Home Health Agency	$0	$21.7M
Children's Health Pm Urgent Care, PLLC	TX	Urgent Care Clinic/Center	$0	$13.5M
Sara Rosado	TX	Physician Assistant	$2.2M	$0
Osama Abdul-rahim	TX	Vascular & Interventional Radiology Physician	$1.5M	$0
Charles Toulson	TX	Orthopaedic Surgery Physician	$591K	$0
Synaptixs Ionm, LLC	TX	Physiological Laboratory	$420.2K	$0
Dale Yoo	TX	Clinical Cardiac Electrophysiology Physician	$330.7K	$0
Wilson Creek Surgical Center, LLC	TX	Ambulatory Surgical Clinic/Center	$204.2K	$0
Texas Health Craig Ranch Surgery Center LLC	TX	Ambulatory Surgical Clinic/Center	$172.7K	$0

Timothy Cole — Billing Profile & Reimbursement Data

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Timothy Cole — 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