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

Why is the Medicaid comparison limited to Indiana 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. Indiana (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 Watkins (NPI 1326002395)

Field	Value
Entity Type	Individual
Organization	James Watkins
Address	550 University Blvd
City	Indianapolis
State	IN
ZIP	46202
Taxonomy	Gastroenterology Physician
NPI Enumerated	April 14, 2006

Payer Source	Total Paid
Medicare	$40.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
43274	The physician performs an ERCP (a diagnostic procedure that combines upper endoscopy and retrograde (reverse or backward) injection of contrast material, a type of dye, into the biliary ducts to…	50	$260	$13.1K
43276	Endoscopic retrograde cholangiopancreatography (ERCP) is endoscopic inspection of the duodenum, the papilla of vater, followed by radiologic assessment of the pancreatic duct and the biliary…	30	$250	$8.3K
43275	Endoscopic retrograde cholangiopancreatography (ERCP) is endoscopic inspection of the duodenum, the papilla of vater, followed by radiologic assessment of the pancreatic duct and the biliary…	30	$260	$7K
43264	The provider performs a diagnostic procedure that combines upper endoscopy and retrograde (reverse) injection of contrast material, a type of dye, into the biliary ducts to obtain fluoroscopic images…	60	$80	$4.8K
43277	Endoscopic retrograde cholangiopancreatography (ERCP) is endoscopic inspection of the duodenum, the papilla of vater, followed by radiologic assessment of the pancreatic duct and the biliary…	10	$210	$2.9K
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…	20	$130	$2.2K
74328	In this procedure, the provider performs imaging supervision and interpretation, S&I, for a separately reportable endoscopic biliary duct catheterization. The provider X–rays the biliary ducts during…	80	$20	$1.4K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	20	$60	$1.1K
74329	In this procedure, the provider performs imaging supervision and interpretation for a separately reportable endoscopic pancreatic duct catheterization. The provider X–rays the pancreatic ducts during…	20	$20	$340

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Indiana Distribution

James Watkins — 1 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99232	3,722	3,970	90	$60	$11.8K
99223	2,551	3,080	40	$120	$8.2K
43274	3	30	20	$300	$8.1K
43276	2	10	20	$280	$7.6K
43275	1	10	10	$260	$3.8K
43264	3	40	20	$100	$3K
43277	2	10	10	$190	$2.6K
74328	3	40	20	$20	$570
74329	1	10	20	$20	$330

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lida Mina	AZ	Hematology & Oncology Physician	$1.3M	$0
Anton Cabellon	IN	Nephrology Physician	$1.1M	$0
Costantine Albany	IN	Medical Oncology Physician	$1M	$0
Noah Hahn	MD	Hematology & Oncology Physician	$712K	$0
Anne Greist	IN	Hematology & Oncology Physician	$423.3K	$0
Irmina Gradus-pizlo	CA	Cardiovascular Disease Physician	$108.2K	$153.3K
Douglas Rex	IN	Gastroenterology Physician	$177.9K	$0
Antonio Navarrete Casas	IN	Cardiovascular Disease Physician	$150.7K	$0
Michael Byers	IN	Cardiovascular Disease Physician	$145.2K	$0
William Gill	IN	Cardiovascular Disease Physician	$135.7K	$0

James Watkins — Billing Profile & Reimbursement Data

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James Watkins — 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