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.

Alison Crum (NPI 1275739096)

Field	Value
Entity Type	Individual
Organization	Alison Crum
Address	65 Mario Capecchi Dr
City	Salt Lake City
State	UT
ZIP	84132
Taxonomy	Ophthalmology Physician
NPI Enumerated	June 27, 2007

Payer Source	Total Paid
Medicare	$860
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	10	$50	$670
92081	The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for a limited…	10	$10	$100
92285	Code 92285 describes photography of abnormalities using any of the methods described for documentation purposes and later comparison.	40	$1	$80

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Utah Distribution

Alison Crum — 0 of 3 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

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	3,904	4,080	80	$80	$11.6K
92285	20	40	40	$10	$1.3K
92081	8	10	30	$20	$1.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Utah	UT	General Acute Care Hospital	$0	$221.3M
University Of Utah	UT	General Acute Care Hospital	$0	$23.1M
Ronald Hobbs	AZ	Ophthalmology Physician	$4.1M	$0
University Of Utah	UT	Home Infusion Therapy Pharmacy	$0	$3.8M
Benjamin Thomas	FL	Ophthalmology Physician	$2.4M	$360
University Of Utah	UT	Psychiatric Hospital	$0	$2.1M
James Bell	WI	Ophthalmology Physician	$1.4M	$0
Karyn Teel	CA	Ophthalmology Physician	$1.4M	$0
Carlton Fenzl	IA	Ophthalmology Physician	$1.1M	$950
Akbar Shakoor	UT	Ophthalmology Physician	$702.4K	$0

Alison Crum — Billing Profile & Reimbursement Data

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Alison Crum — 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

Frequently Asked Questions

References