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

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

James Morgan (NPI 1255312385)

Field	Value
Entity Type	Individual
Organization	James Morgan
Address	2100 Dorchester Ave
City	Dorchester
State	MA
ZIP	02124
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	November 7, 2005

Payer Source	Total Paid
Medicare	$27.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	140	$50	$7.4K
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…	130	$50	$6.3K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	750	$10	$4.5K
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…	50	$70	$3.7K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	30	$110	$3.5K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	50	$40	$1.9K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	70	$10	$400

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Massachusetts Distribution

James Morgan — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93306	432	540	310	$80	$26.3K
99214	10,775	15,410	110	$80	$15.6K
99213	4,461	13,700	70	$60	$8.8K
99222	1,351	3,420	30	$100	$4.5K
93010	814	1,110	230	$10	$3.6K
99231	858	1,830	40	$40	$3.5K
99211	1	360	40	$20	$1.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Steward St. Elizabeth's Medical Center Of Boston, Inc.	MA	General Acute Care Hospital	$0	$32.5M
Raphael Kieval	MA	Rheumatology Physician	$1.6M	$0
Andris Zauls	MA	Radiation Oncology Physician	$1.5M	$0
Frantz Gibbs	RI	Emergency Medicine Physician	$31.4K	$849.2K
Kyu Kim	MA	Rheumatology Physician	$628.4K	$0
Nazli Erbay	MA	Diagnostic Radiology Physician	$106.9K	$290.7K
Walid Saber	RI	Interventional Cardiology Physician	$323.2K	$58K
Eghosa Idumwonyi	MA	Hospitalist Physician	$348.4K	$0
Brian Dalton	MA	Internal Medicine Physician	$341.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Victory Human Services	MA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$86M
Steward Carney Hospital, Inc.	MA	General Acute Care Hospital	$0	$56.7M
Codman Square Health Center Inc	MA	Community Health Clinic/Center	$0	$44.6M
Commonwealth Mental Health & Wellness Center	MA	Mental Health Counselor	$0	$19.9M
Adult Day Health, Inc.	MA	Adult Day Care Clinic/Center	$0	$11.5M
All Boston Elder Care LLC	MA	Adult Day Care Clinic/Center	$0	$10.3M
Adult Day Health, Inc.	MA	Adult Day Care Clinic/Center	$0	$8.7M
Codman Square Health Center, Inc	MA	Urgent Care Clinic/Center	$0	$8.5M
Jean Charles	MA	Ophthalmology Physician	$177K	$620.7K
Clifford Gluck	MA	Urology Physician	$530K	$0

James Morgan — Billing Profile & Reimbursement Data

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James Morgan — 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