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.

Thomas Higgins (NPI 1265651046)

Field	Value
Entity Type	Individual
Organization	Thomas Higgins
Address	633 N Central Ave
City	Glendale
State	CA
ZIP	91203
Taxonomy	Audiologist
NPI Enumerated	April 24, 2007

Payer Source	Total Paid
Medicare	$22.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
92557	The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…	270	$30	$7.8K
92570	The provider uses this global service code which bundles a tympanometry, reflex threshold measurement, and reflex decay testing when the provider performs all three tests. This group of services…	220	$30	$5.5K
92562	The provider administers a hearing test delivering tones alternately between both ears of a patient, which can help determine the patient’s type of hearing loss.	100	$40	$4.1K
92625	The provider assesses tinnitus, which is a phantom hearing perception generated within the patient's head: ringing, roaring, static. Tinnitus is a symptom, not a disease.	80	$50	$4K
92579	The provider performs a battery of tests to evaluate hearing loss in infants and toddlers. He uses sound sources to evaluate the auditory response, with reinforcement by animated toys.	20	$40	$860

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. California Distribution

Thomas Higgins — 0 of 5 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

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92562	5	10	120	$40	$5.2K
92557	113	600	120	$30	$4.8K
92625	6	20	50	$50	$4.1K
92570	15	50	120	$30	$3.8K
92579	4	10	50	$40	$2.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nobility Health, Inc.	CA	Clinical Medical Laboratory	$115.4K	$4.2M
Kent Small	CA	Ophthalmology Physician	$3.4M	$3K
Haroutun Hovanesian	CA	Ophthalmology Physician	$1.6M	$0
Med Science Center Inc.	CA	Clinical Medical Laboratory	$1.2M	$225.3K
Amir Sadrzadeh Rafie	CA	Interventional Cardiology Physician	$1.3M	$2.9K
Richard Weise	CA	Ophthalmology Physician	$872.7K	$2.9K
Anna Gabrielian	CA	Ophthalmology Physician	$828.4K	$0
Ani Shirinyan	CA	Family Nurse Practitioner	$731K	$0
Noune Pashinian	CA	Rheumatology Physician	$690.5K	$0
Vigen Khojayan	CA	Family Medicine Physician	$561.5K	$94.7K

Thomas Higgins — Billing Profile & Reimbursement Data

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Thomas Higgins — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References