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

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

James Flanagan (NPI 1316963978)

Field	Value
Entity Type	Individual
Organization	James Flanagan
Address	600 Rodeo Dr
City	Erlanger
State	KY
ZIP	41018
Taxonomy	Emergency Medicine Physician
NPI Enumerated	July 15, 2006

Payer Source	Total Paid
Medicare	$80.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	860	$60	$48.2K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	130	$80	$10K
99304	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves straightforward or low medical decision making or the provider…	100	$60	$6K
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.	30	$130	$4.6K
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.	50	$90	$4K
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	110	$30	$3.2K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	20	$90	$2.2K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	10	$130	$1.6K
99305	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	10	$80	$960
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	20	$10	$130

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Kentucky Distribution

James Flanagan — 0 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. state median

10 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	259	470	170	$70	$24.3K
99285	819	1,020	100	$130	$18.7K
99233	1,549	1,800	80	$90	$14.1K
99308	40	450	130	$50	$14K
99223	1,852	1,940	40	$130	$8.6K
99305	130	140	30	$100	$7.6K
99284	711	1,030	70	$90	$6.9K
99307	63	160	80	$30	$4.7K
99304	13	40	40	$60	$4.6K
93010	787	890	120	$10	$1.9K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southeastern Emergency Physicians LLC	KY	Emergency Medicine Physician	$0	$208.5M
Holzer Clinic, LLC	OH	Multi-Specialty Clinic/Center	$0	$56.1M
Southeastern Emergency Physicians Of Memphis LLC	IL	Emergency Medicine Physician	$0	$26.5M
Joseph Palumbo	WV	Emergency Medicine Physician	$7.9M	$44.3K
Clark Emergency Physicians	KY	Emergency Medicine Physician	$0	$6.7M
Kelechi Iwuji	TN	Internal Medicine Physician	$496.4K	$0
Emily Langlois	KY	Nurse Practitioner	$450.3K	$0
Sherif Shoukry	VA	Emergency Medicine Physician	$122.2K	$301.7K
Abdolreza Rabiee	KY	Emergency Medicine Physician	$377.4K	$0
Ugwuala Nwauche	NC	Internal Medicine Physician	$371.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Summit Medical Group, Inc	KY	Family Medicine Physician	$0	$95.1M
St Elizabeth Medical Center, Inc	KY	Physician Assistant	$0	$3.8M
Rural Metro Of Southern Ohio Inc	KY	Land Ambulance	$910.6K	$1.8M
City Of Erlanger	KY	Ambulance	$188.4K	$469.1K
Stephen Hamilton	KY	Sports Medicine (Orthopaedic Surgery) Physician	$235.9K	$0
Justin Kruer	KY	Interventional Pain Medicine Physician	$202.2K	$0
Tyler Ryan	KY	Clinical Psychologist	$152K	$0
David Sower	KY	Sports Medicine (Emergency Medicine) Physician	$115.6K	$0
Michelle Howell	KY	Optometrist	$32.1K	$0
Richard Ohmer	KY	Family Medicine Physician	$28.9K	$0

James Flanagan — 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