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

Why is the Medicaid comparison limited to New Mexico 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. New Mexico (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.

Gary Prant (NPI 1295746857)

Gary Prant is a podiatrist provider located in Albuquerque, New Mexico. This profile covers 12 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	Gary Prant
Address	7700 Menaul Blvd Ne Ste D
City	Albuquerque
State	NM
ZIP	87110
Taxonomy	Podiatrist
NPI Enumerated	August 10, 2006

Payer Source	Total Paid
Medicare	$66.8K
Medicaid	$0

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

12 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…	360	$60	$21.7K
11730	The provider removes part or all of a single nail plate using simple avulsion techniques.	220	$80	$16.9K
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…	120	$70	$8.4K
11420	The provider excises a noncancerous lesion, excluding a skin tag, of 0.5 cm or less in diameter, including margins, from the skin of the scalp, neck, hands, feet, or genitals.	70	$90	$6.5K
17110	The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…	60	$80	$4.3K
10060	The provider incises the area of abscess and drains the collection of pus from a lesion, such as a carbuncle, hidradenitis, cyst, furuncle, or paronychia, with the help of surgical instruments. A…	30	$90	$2.9K
93923	Noninvasive arterial diagnostic procedures are performed to examine the rate of blood flow in an area and to assess the presence of a blockage in the upper and lower extremity arteries.…	30	$80	$2.7K
11305	The provider shaves off a single epidermal or dermal lesion of 0.5 cm or less in diameter from the scalp, neck, hands, feet, or genitals.	20	$70	$1.1K
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,…	20	$40	$630
73620	In this diagnostic procedure, the provider takes two X–ray views of a patient’s foot to assess an injury, fracture, arthritis, tumor, or congenital abnormality.	30	$20	$580

Showing 1–10 of 12

Gary Prant — 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
17110	60	100	80	$70	$10.5K
99213	217	2,440	60	$50	$7.3K
11420	2	10	70	$70	$6.8K
93923	27	30	60	$60	$4.2K
99203	87	870	30	$60	$3.3K
11730	1	20	20	$80	$3K
10060	4	10	30	$80	$2.6K
29540	4	10	70	$30	$2.4K
99212	442	570	30	$30	$2.2K
73630	140	170	50	$20	$1.6K