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

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

William Warner (NPI 1265403463)

Field	Value
Entity Type	Individual
Organization	William Warner
Address	12391 S 4000 W
City	Riverton
State	UT
ZIP	84096
Taxonomy	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
NPI Enumerated	January 27, 2006

Payer Source	Total Paid
Medicare	$26.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
57425	The provider uses a laparoscopic approach to suspend the top of the vagina to a strong structure to treat vaginal vault prolapse using sutures or mesh.	20	$610	$9.2K
57288	The provider places a sling made of fascia or synthetic material under the urethra to support it in the correct position to treat urinary stress incontinence. The procedure can be performed…	20	$400	$8K
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…	60	$110	$6.1K
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…	50	$60	$3.1K
51798	Providers perform this ultrasound to measure the volume of residual urine in the bladder.	40	$10	$260
81002	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…	30	$1	$100

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Utah Distribution

William Warner — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
57425	4	10	20	$410	$7.3K
57288	4	10	20	$320	$6.4K
99213	2,153	3,680	60	$50	$6.4K
99204	320	1,790	30	$100	$4.1K
51798	64	80	90	$10	$960
81002	80	180	30	$1	$190

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Granger Medical Clinic PC	UT	Multi-Specialty Clinic/Center	$0	$5.1M
Douglas Mehr	UT	Retina Specialist (Ophthalmology) Physician	$2.7M	$0
Mary Jane Pennington	UT	Pediatrics Physician	$729.8K	$15K
Neal Khurana	SD	Vascular & Interventional Radiology Physician	$704.3K	$0
Granger Medical Specialists LLC	UT	Clinic/Center	$0	$618K
Douglas Heiner	UT	Procedural Dermatology Physician	$530K	$0
Todd Randolph	AR	Anatomic Pathology & Clinical Pathology Physician	$405.5K	$0
Craig Davis	UT	Interventional Pain Medicine Physician	$272.9K	$0
Michael Hinckley	UT	Dermatology Physician	$249.9K	$0
Stewart Landau	UT	Urology Physician	$243.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jed Nordfelt	UT	Pediatric Dentistry	$0	$978.4K
John Reimschiissel	UT	Pediatric Dentistry	$0	$433.5K
Dana Pickle	UT	Primary Care Nurse Practitioner	$45.9K	$0
Nathan Currier	UT	Psychiatry Physician	$44.3K	$0
Kathleen Mitchell	UT	Family Nurse Practitioner	$27.3K	$0
Tyson Catmull	UT	Family Nurse Practitioner	$26.9K	$0

William Warner — Billing Profile & Reimbursement Data

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William Warner — 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