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

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

Robert Phillips (NPI 1285683805)

Field	Value
Entity Type	Individual
Organization	Robert Phillips
Address	2550 E Broadway St
City	Helena
State	MT
ZIP	59601
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	May 9, 2006

Payer Source	Total Paid
Medicare	$91.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

11 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…	660	$70	$47.6K
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…	150	$100	$14.8K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	150	$60	$8.2K
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…	160	$50	$7.3K
93016	The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…	250	$20	$3.7K
93018	The provider analyzes and interprets the recording of the electrical activity of the heart to examine for any abnormality in its functioning, including blood pressure and electrocardiograph readings…	250	$10	$2.5K
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…	40	$50	$2K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	380	$10	$1.9K
93272	In this service, the provider monitors the patient’s heart rhythm while experiencing cardiac symptoms. He places electrocardiogram (ECG) leads of an event recorder on the patient's chest, which can…	90	$20	$1.6K
92960	In this procedure, the provider restores the normal heart rate and rhythm of a patient with arrhythmia by applying electric shock using an external defibrillator.	20	$80	$1.3K

Showing 1–10 of 11

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Montana Distribution

Robert Phillips — 4 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. state median

11 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	64	1,810	100	$70	$12.4K
99213	493	1,730	90	$50	$7.2K
78452	6	40	30	$90	$5.5K
99204	20	780	30	$100	$4.8K
99203	283	700	30	$70	$3.1K
92960	13	20	20	$80	$2.2K
93010	40	170	80	$10	$1.8K
93016	1	40	40	$10	$900
93018	3	50	50	$10	$810
93272	1	10	30	$20	$680

Showing 1–10 of 11

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Peacehealth	WA	General Acute Care Hospital	$0	$81.6M
Peacehealth	WA	Rural Acute Care Hospital	$0	$47.1M
Peacehealth	AK	Critical Access Hospital	$0	$34.3M
Peacehealth	WA	Internal Medicine Physician	$0	$26.1M
Peacehealth	WA	Surgery Physician	$0	$13.5M
Peacehealth	WA	Multi-Specialty Clinic/Center	$0	$12.4M
St. Peter's Health	MT	Family Medicine Physician	$0	$5.2M
St. Peter's Health	MT	General Acute Care Hospital	$0	$4.2M
Peacehealth	AK	Diagnostic Radiology Physician	$0	$2.9M
St Peters Community Hospital	MT	Multi-Specialty Clinic/Center	$0	$2.6M

Robert Phillips — Billing Profile & Reimbursement Data

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Robert Phillips — 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