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

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

Justin Knight (NPI 1316108574)

Field	Value
Entity Type	Individual
Organization	Justin Knight
Address	501 Airport Rd
City	Rifle
State	CO
ZIP	81650
Taxonomy	Emergency Medicine Physician
NPI Enumerated	June 20, 2008

Payer Source	Total Paid
Medicare	$85.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	340	$140	$46.7K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	210	$90	$18.9K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	90	$180	$16.1K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	300	$10	$1.8K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	20	$60	$1.3K
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…	30	$10	$230
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	30	$10	$200

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Colorado Distribution

Justin Knight — 2 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	13	1,040	90	$130	$13.6K
99291	221	1,230	40	$170	$9.8K
99284	5	1,120	50	$90	$5.1K
71045	439	470	290	$10	$2.8K
93010	142	800	110	$10	$1.4K
71046	439	700	50	$10	$1.2K
99283	213	540	20	$50	$1.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Grand River Hospital District	CO	Rural Health Clinic/Center	$0	$14M
Grand River Hospital District	CO	Rural Health Clinic/Center	$0	$4.9M
Grand River Hospital District	CO	Critical Access Hospital	$0	$3.6M
Brian Tyson	CA	Family Medicine Physician	$709.7K	$0
Scott Dlugos	CA	Emergency Medicine Physician	$459.8K	$0
Eddie Lares	CA	Emergency Medicine Physician	$353.5K	$0
Brian Doane	IL	Emergency Medicine Physician	$153K	$159K
Garrett Caputo	CO	Emergency Medicine Physician	$283.8K	$0
Messina Michalsky	MT	Psychiatric/Mental Health Nurse Practitioner	$12.3K	$256.5K
Michael Duehrssen	NE	Emergency Medicine Physician	$243.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mountain Family Health Centers	CO	Federally Qualified Health Center (FQHC)	$0	$7.4M
Colorado River Fire Rescue	CO	Land Ambulance	$182.8K	$358.8K
Event Medical Solutions Unlimited PLLC	CO	Ambulance	$164.7K	$0
Eileen Daly	CO	Emergency Medicine Physician	$91.2K	$0

Justin Knight — Billing Profile & Reimbursement Data

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Justin Knight — 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