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.

Howard Fox (NPI 1225158421)

Field	Value
Entity Type	Individual
Organization	Howard Fox
Address	1251 W Gonzales Rd
City	Oxnard
State	CA
ZIP	93036
Taxonomy	Podiatrist
NPI Enumerated	March 30, 2007

Payer Source	Total Paid
Medicare	$92.3K
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
99215	The provider sees an established 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…	210	$150	$31K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	280	$100	$26.9K
10140	The provider makes an incision into the hematoma, seroma, or other collection of fluid and bluntly penetrates it to allow fluid evacuation.	80	$150	$12.6K
99350	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…	60	$140	$8.4K
11732	The provider removes part or all of an additional nail plate after the first using simple avulsion techniques.	210	$30	$6.2K
11730	The provider removes part or all of a single nail plate using simple avulsion techniques.	70	$50	$3.7K
99345	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends at least 75…	10	$170	$2.2K
10060	The provider incises the area of abscess and drains the collection of pus from a lesion, such as a carbuncle, hidradenitis, cyst, furuncle, or paronychia, with the help of surgical instruments. A…	20	$60	$1.1K

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

Howard Fox — 0 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
99350	320	550	80	$140	$38.8K
11042	233	1,030	100	$80	$18.1K
10140	7	30	40	$140	$15.8K
99215	1,990	15,360	50	$130	$14.4K
99345	246	290	30	$150	$12.5K
11730	71	380	20	$80	$5.8K
10060	236	420	20	$100	$4.3K
11732	6	40	30	$30	$2.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
County Of Ventura	CA	Community/Behavioral Health Agency	$0	$599M
Clinicas Del Camino Real Inc	CA	Federally Qualified Health Center (FQHC)	$0	$53.9M
Solar Surgical Center, LLC	CA	Ambulatory Surgical Clinic/Center	$806.2K	$2.4M
Robert See	CA	Retina Specialist (Ophthalmology) Physician	$3M	$0
Premier Diagnostics Inc	CA	Sleep Disorder Diagnostic Clinic/Center	$153.6K	$2.3M
Manoj Khatore	CA	Cardiovascular Disease Physician	$1.1M	$368.4K
Robert Lum	CA	Radiation Oncology Physician	$813.3K	$0
Tim Nguyen	CA	Foot & Ankle Surgery Podiatrist	$241.4K	$509.2K
Sherif Aboseif	CA	Urology Physician	$699.8K	$0
Nasim Kalhor	CA	Podiatrist	$678.2K	$770

Howard Fox — Billing Profile & Reimbursement Data

Sign up for Howard Fox — Billing Profile & Reimbursement Data policy alerts

Howard Fox — Billing Profile & Reimbursement Data

Sign up for Howard Fox — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References