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

Why is the Medicaid comparison limited to New York 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. New York (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.

Kevin Hyman (NPI 1225221401)

Field	Value
Entity Type	Individual
Organization	Kevin Hyman
Address	225 Community Dr
City	Great Neck
State	NY
ZIP	11021
Taxonomy	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
NPI Enumerated	August 22, 2007

Payer Source	Total Paid
Medicare	$106.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	190	$110	$21.5K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	80	$160	$13.1K
32666	This procedure involves visualizing the chest cavity and the lung in order to resect, or remove, a section of the lung where a mass or nodule is located.	20	$800	$12.8K
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…	60	$200	$12.6K
32663	This procedure involves visualizing the chest cavity and the lobe of the lung to remove it.	10	$1,130	$12.5K
99443	N/A	70	$120	$8.1K
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…	90	$80	$7.6K
32674	This procedure involves visualizing the chest cavity and the mediastinal lymph nodes in order to remove them.	20	$200	$4K
31622	In this procedure, the provider performs diagnostic rigid or flexible bronchoscopy, a test to view airways and diagnose lung disease. He may or may not use fluoroscopic guidance to perform this test.…	50	$60	$3.1K
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	$160	$2.8K

Showing 1–10 of 14

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New York Distribution

Kevin Hyman — 0 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. state median

14 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
32663	32	40	20	$1,070	$19.3K
99214	9,171	30,450	90	$100	$19K
99232	9,339	11,850	80	$70	$13.8K
32666	16	30	20	$660	$12.6K
99213	14,371	31,440	80	$70	$12.1K
99215	7,398	8,280	40	$140	$10.1K
99223	1,810	8,650	40	$150	$9.3K
99204	10,320	14,170	30	$130	$6.6K
99205	549	4,260	30	$180	$6.4K
99443	242	1,200	30	$90	$5.7K

Showing 1–10 of 14

Kevin Hyman — Billing Profile & Reimbursement Data

Sign up for Kevin Hyman — Billing Profile & Reimbursement Data policy alerts

Kevin Hyman — Billing Profile & Reimbursement Data

Sign up for Kevin Hyman — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References