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

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

Martin Laxson (NPI 1275714701)

Field	Value
Entity Type	Individual
Organization	Martin Laxson
Address	1315 Jesse Jewell Pkwy Ne Ste 201
City	Gainesville
State	GA
ZIP	30501
Taxonomy	Surgical Physician Assistant
NPI Enumerated	November 27, 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.

13 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…	260	$50	$13.1K
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…	80	$80	$5.7K
99203	The provider sees a new 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 provider…	70	$60	$3.8K
J3490	Unclassified drugs	30	$140	$3.4K
11980	The provider inserts hormone pellets subdermally, normally under the patient's arm skin. These pellets then release levels of synthetic hormones (testosterone and/or estradiol) to treat menopausal…	30	$60	$1.8K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	150	$10	$1.2K
54235	The provider injects pharmacologic agents such as papaverine, phentolamine, or prostaglandin E1 into the corpora cavernosa of the penis. He performs this procedure to treat patients with erectile…	20	$60	$940
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	20	$30	$720
51798	Providers perform this ultrasound to measure the volume of residual urine in the bladder.	80	$10	$450
81001	Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…	120	$1	$350

Showing 1–10 of 13

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Georgia Distribution

Martin Laxson — 0 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. state median

13 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J3490	44	50	50	$320	$19.8K
99214	8,415	13,640	120	$80	$17.8K
99213	2,434	13,360	80	$60	$9.2K
11980	2	10	30	$70	$4.9K
99203	1,122	5,350	30	$70	$3.3K
36415	1,232	3,010	100	$10	$3.2K
99212	1,643	2,720	30	$40	$2.1K
81001	155	330	100	$1	$1.3K
51798	188	340	90	$10	$1K
54235	3	20	10	$60	$880

Showing 1–10 of 13

Martin Laxson — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References