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

Why is the Medicaid comparison limited to North Dakota 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. North Dakota (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.

Brent Nichols (NPI 1275858714)

Brent Nichols is a otolaryngology physician provider located in Fargo, North Dakota. This profile covers 13 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Provider details (source: NPPES NPI Registry)

Medicare: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Brent Nichols
Address	801 Broadway N
City	Fargo
State	ND
ZIP	58102
Taxonomy	Otolaryngology Physician
NPI Enumerated	March 27, 2010

Payer Source	Total Paid
Medicare	$33K
Medicaid	$0

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…	140	$40	$6.3K
31573	The provider uses a flexible laryngoscope, a tubular instrument with a fiberoptic light source, to look inside the larynx, or voice box, to detect the presence of any abnormalities; he injects a…	30	$140	$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…	50	$100	$4.5K
31575	The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.	70	$50	$3.6K
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…	60	$60	$3.5K
31231	In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.	70	$40	$2.9K
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	$70	$2.1K
31574	The provider uses a flexible laryngoscope, a tubular instrument with a fiberoptic light source, to look inside the larynx, or voice box, to detect the presence of any abnormalities; he injects one…	20	$120	$1.8K
69433	The provider makes a small opening in the eardrum and inserts a ventilating tube under local or topical anesthesia.	20	$110	$1.6K
31256	In this procedure, the provider inserts an endoscope into the nasal cavity. He then gains access to the maxillary sinus through a cut in the uncinate process. The provider opens the maxillary sinus.	10	$100	$1.1K

Showing 1–10 of 13

Brent Nichols — 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

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,153	1,470	90	$60	$10.4K
99213	394	1,490	80	$50	$5.8K
31573	1	10	30	$140	$4.5K
99204	156	570	30	$100	$4.4K
99203	93	490	30	$60	$2.5K
69433	3	10	20	$120	$2.2K
31231	1	10	30	$60	$2.1K
31575	2	30	30	$50	$1.9K
31574	1	10	20	$120	$1.8K
99212	357	410	30	$30	$1.2K