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

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

Craig Cox (NPI 1285782805)

Field	Value
Entity Type	Individual
Organization	Craig Cox
Address	623 South Main Street
City	Moscow
State	ID
ZIP	83843
Taxonomy	Family Medicine Physician
NPI Enumerated	January 8, 2007

Payer Source	Total Paid
Medicare	$14.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	90	$70	$6.9K
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…	110	$60	$6.4K
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,…	10	$40	$530
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	20	$20	$350
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	10	$20	$240
81003	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…	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 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Idaho Distribution

Craig Cox — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	979	2,770	70	$50	$5.7K
99203	99	1,030	30	$60	$2.5K
99212	583	620	30	$30	$1.5K
71046	224	230	50	$10	$1K
87880	3	10	20	$20	$340
81003	79	260	20	$1	$110

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Banner Primary Care Physicians Arizona LLC	AZ	Primary Care Clinic/Center	$0	$24.1M
Kootenai Urgent Care LLC	ID	Family Medicine Physician	$0	$3.8M
Timothy Burns	AZ	Internal Medicine Physician	$987K	$0
Pritpal Sandhu	AZ	Family Medicine Physician	$418.7K	$0
Richard Worhacz	AZ	Family Medicine Physician	$238.1K	$0
Martha Alemayehu	AZ	Family Medicine Physician	$202.1K	$0
Romana Zar	CT	Geriatric Medicine (Internal Medicine) Physician	$151.4K	$0
Aaron Stapley	UT	Family Medicine Physician	$134.6K	$0
Richard Wiesemann	ID	Medical Physician Assistant	$118.8K	$0
Douglas Linford	ID	Family Medicine Physician	$116.8K	$0

Nearby Providers

Other providers in the same ZIP code as Craig Cox, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Health Association Of Spokane	ID	Federally Qualified Health Center (FQHC)	$0	$7.4M
Disability Action Center - Nw, Inc.	ID	In Home Supportive Care Agency	$0	$3.8M
Gritman Medical Center Inc	ID	Critical Access Hospital	$0	$3.7M
Community Health Association Of Spokane	ID	Federally Qualified Health Center (FQHC)	$0	$2.7M
Crt Children Services LLC	ID	Behavior Analyst	$0	$2.5M
County Of Latah School District 281	ID	Local Education Agency (LEA)	$0	$2M
Gritman Medical Center, Inc.	ID	Family Medicine Physician	$0	$1.4M
Shawn Richards	ID	Ophthalmology Physician	$1.4M	$0
Lotus Early Learning	ID	Developmental Disabilities Clinic/Center	$0	$1.2M
Alyssa Hoehn	ID	Ophthalmology Physician	$1M	$0

Craig Cox — Billing Profile & Reimbursement Data

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Craig Cox — 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

Nearby Providers

Frequently Asked Questions

References