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

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

Timothy Hain (NPI 1285620492)

Timothy Hain is a neurology physician provider located in Chicago, Illinois. This profile covers 14 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	Timothy Hain
Address	259 E Erie St Ste 1900
City	Chicago
State	IL
ZIP	60611
Taxonomy	Neurology Physician
NPI Enumerated	September 22, 2005

Payer Source	Total Paid
Medicare	$69K
Medicaid	$0

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	130	$180	$22.4K
92540	The provider performs four specific tests, with recording, to check balance disorders. This code represents both the technical and professional components of the service.	190	$90	$17.5K
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…	70	$110	$7.1K
99215	The provider sees an established 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…	40	$150	$6.5K
92549	The provider performs computerized dynamic posturography sensory organization testing to evaluate the patient's motor, sensory, and integrative processes used to maintain balance and stability. The…	80	$50	$4.1K
G2212	Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary…	120	$30	$3.1K
92518	In this procedure, the provider measures the patient’s response to high–level acoustic stimuli (sound) using electrodes placed near the eye (for ocular muscles). The service includes interpretation…	40	$60	$2.7K
92546	The provider measures various parameters of normal and pathological vestibular systems and also estimates the patient's visual acuity by checking the visual–vestibular interaction using sinusoidal…	30	$100	$2.5K
92537	A caloric vestibular test refers to a qualitative test that involves sequentially irrigating both ears with warm and cold water while evaluating the patient’s eye movements. This helps measure the…	40	$30	$1.3K
92567	In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss.	40	$10	$530

Showing 1–10 of 14

Timothy Hain — 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	11,939	18,540	110	$80	$17.1K
99215	3,065	6,240	40	$120	$10.1K
99205	53	2,730	30	$160	$5.7K
92549	2	10	80	$50	$3.3K
92540	1	30	20	$80	$3.2K
92546	3	10	30	$100	$2.2K
92518	1	10	30	$60	$1.9K
92588	9	10	40	$30	$1.9K
95992	30	30	30	$30	$1.6K
G2212	33	290	30	$20	$1.5K