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

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

Andrew Fenton (NPI 1215977335)

Field	Value
Entity Type	Individual
Organization	Andrew Fenton
Address	1000 Trancas St
City	Napa
State	CA
ZIP	94558
Taxonomy	Emergency Medicine Physician
NPI Enumerated	June 7, 2006

Payer Source	Total Paid
Medicare	$119.9K
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
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	560	$140	$77.1K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	110	$180	$20K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	200	$90	$18.8K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	420	$10	$2.9K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	10	$60	$650
76705	An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…	10	$20	$260
76857	A pelvic ultrasound is a noninvasive procedure used to assess one or more pelvic structures, such as bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland,…	10	$20	$260
G0168	Wound closure utilizing tissue adhesive(s) only	20	$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 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. California Distribution

Andrew Fenton — 2 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	49	5,310	110	$140	$19.9K
99291	1,928	7,220	60	$180	$18.6K
99284	206	5,660	50	$90	$6.1K
76857	311	380	20	$40	$2.6K
G0168	5	20	20	$80	$2.3K
76705	1,746	1,790	40	$30	$1.8K
93010	618	4,610	120	$10	$1.7K
99283	1,820	1,960	20	$50	$1.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ravindra Gautam	CA	Internal Medicine Physician	$13M	$0
Carl Gray	UT	Hematology & Oncology Physician	$3.9M	$1.7M
Artur Henke	CA	Dermatology Physician	$5.5M	$0
Joel Pearlman	CA	Retina Specialist (Ophthalmology) Physician	$3.3M	$0
Sumeer Thinda	CA	Ophthalmology Physician	$2.7M	$0
John Reed	CA	Retina Specialist (Ophthalmology) Physician	$2.7M	$0
John Canzano	CA	Ophthalmology Physician	$2M	$0
Neesurg Mehta	CA	Retina Specialist (Ophthalmology) Physician	$1.8M	$0
Rhonda Wyatt	CA	Diagnostic Radiology Physician	$1.7M	$0
Ramin Manshadi	CA	Cardiovascular Disease Physician	$1.3M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Napa County	CA	Community/Behavioral Health Agency	$0	$61.2M
Ole Health	CA	Federally Qualified Health Center (FQHC)	$0	$36.2M
American Medical Response West	CA	Ambulance	$5.4M	$17.9M
St. Joseph Health Northern California, LLC	CA	General Acute Care Hospital	$0	$22.3M
Lawrence Goldstein	CA	Vascular Surgery Physician	$2.5M	$0
David Kim	CA	Ophthalmology Physician	$1.8M	$0
Brittany Goss	CA	Rheumatology Physician	$826.7K	$0
Jason Huffman	CA	Orthopaedic Surgery of the Spine Physician	$771.2K	$0
Jacqueline Weisbein	CA	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$513K	$0
Sam Ahn	CA	Allergy & Immunology (Internal Medicine) Physician	$504K	$0

Andrew Fenton — Billing Profile & Reimbursement Data

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Andrew Fenton — 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