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

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

John Gore (NPI 1265553374)

Field	Value
Entity Type	Individual
Organization	John Gore
Address	1959 Ne Pacific St
City	Seattle
State	WA
ZIP	98195
Taxonomy	Urology Physician
NPI Enumerated	April 3, 2007

Payer Source	Total Paid
Medicare	$32.1K
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
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…	180	$50	$9.3K
52000	In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…	90	$60	$5.2K
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…	30	$150	$4.5K
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…	40	$110	$3.8K
52310	The provider performs a simple cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra…	20	$130	$3.1K
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…	30	$80	$2.7K
52234	The provider inspects the urethra, prostatic urethra (in men), the interior of the bladder, and ureteric openings using a cystoscope passed through the urethra and into the bladder; he destroys…	10	$190	$2.3K
99442	N/A	20	$50	$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 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

John Gore — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
52000	87	180	90	$140	$14.4K
99214	8,554	10,860	100	$80	$13.6K
52234	2	10	10	$770	$10.7K
99213	1,584	9,690	60	$60	$6.5K
99205	768	1,820	30	$150	$5.4K
99204	2,063	4,750	30	$110	$5.2K
52310	19	70	20	$230	$4.8K
99442	193	470	20	$50	$2.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Public Hospital District 1 Of King County	WA	General Acute Care Hospital	$0	$120.6M
Valley Medical Group-renton	WA	General Acute Care Hospital	$0	$28.3M
Reza Masoomi	WA	Interventional Cardiology Physician	$319.1K	$0
Omar Dorzi	WA	Vascular Surgery Physician	$264.4K	$0
Andrew Brockenbrough	WA	Nephrology Physician	$186.3K	$0
Amitoj Marwaha	WA	Cardiovascular Disease Physician	$169.9K	$0
Rajib Choudhury	WA	Cardiovascular Disease Physician	$160.9K	$0
George Dolack	WA	Clinical Cardiac Electrophysiology Physician	$140.5K	$0
Hamilton Gillespie	WA	Clinical Cardiac Electrophysiology Physician	$129.6K	$0
Sumeet Subherwal	VA	Cardiovascular Disease Physician	$127.1K	$0

John Gore — Billing Profile & Reimbursement Data

Sign up for John Gore — Billing Profile & Reimbursement Data policy alerts

John Gore — Billing Profile & Reimbursement Data

Sign up for John Gore — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References