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

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

Paul Tso (NPI 1215993118)

Field	Value
Entity Type	Individual
Organization	Paul Tso
Address	101 Woodruff Circle
City	Atlanta
State	GA
ZIP	30322
Taxonomy	Transplant Surgery Physician
NPI Enumerated	April 21, 2006

Payer Source	Total Paid
Medicare	$34.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
50360	The provider transplants a kidney and ureter from a cadaver or living donor into a recipient. The provider does not remove a kidney (nephrectomy) from the recipient.	20	$1,680	$31.9K
50325	The provider makes a donor kidney, from a living donor, ready for transplantation through a standard back table preparation.	10	$100	$1.2K
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	$80	$1.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Georgia Distribution

Paul Tso — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
50360	8	10	20	$1,720	$37.9K
99214	12,999	13,640	120	$80	$17.8K
50325	1	10	10	$100	$1.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Scottish Rite Children's Medical Center	GA	Pediatric Hematology & Oncology Physician	$0	$493.4M
Arthur M. Blank Hospital, Inc.	GA	Children's Hospital	$0	$116.5M
George Hubbard	GA	Ophthalmology Physician	$553K	$0
April Downing	TN	Family Nurse Practitioner	$258K	$174.7K
John Millichap	IL	Neurology with Special Qualifications in Child Neurology Physician	$49.3K	$239.6K
Audrey Nath	TX	Neurological Surgery Physician	$210.5K	$0
Ronald Parsons	PA	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$99K	$0
William Kitchens	GA	Transplant Surgery Physician	$58.5K	$0
Octav Cristea	GA	Urology Physician	$58K	$0
Idelberto Badell	GA	Surgery Physician	$53.1K	$0

Paul Tso — Billing Profile & Reimbursement Data

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Paul Tso — 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

Frequently Asked Questions

References