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

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

Mark Johnston (NPI 1326295726)

Field	Value
Entity Type	Individual
Organization	Mark Johnston
Address	19026 Stone Oak Pkwy
City	San Antonio
State	TX
ZIP	78258
Taxonomy	Audiologist
NPI Enumerated	August 27, 2008

Payer Source	Total Paid
Medicare	$29K
Medicaid	$0

Medicare: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
92557	The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…	770	$30	$20.1K
92567	In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss.	810	$10	$8.9K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Mark Johnston — 2 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92557	3	680	80	$30	$2.9K
92567	4	600	70	$10	$1.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jeffery Rosenbloom	TX	Otolaryngology Physician	$150.1K	$0
Andamo Guillaume	TX	Otolaryngology Physician	$96.5K	$0
William Gordon	TX	Otolaryngology Physician	$89.1K	$0
Benjamin Webb	TX	Otolaryngology Physician	$85.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bhs Physicians Network, Inc	TX	Family Medicine Physician	$0	$32.1M
Kevin Kempf	TX	Rheumatology Physician	$3.6M	$0
Robert Zajac	TX	Infectious Disease Physician	$3.1M	$0
Gautam Moorjani	TX	Rheumatology Physician	$2.3M	$0
Everett Allen	TX	Rheumatology Physician	$2.3M	$0
Livingston Med Lab LLC	TX	Clinical Medical Laboratory	$81K	$1.7M
Jane Ayala	TX	Rheumatology Physician	$1.7M	$0
Emily Marx	TX	Rheumatology Physician	$1.7M	$0
Christus Santa Rosa Pasc-san Antonio LLC	TX	Ambulatory Surgical Clinic/Center	$1M	$606.9K
Scott Ulmer	TX	Hematology & Oncology Physician	$1.3M	$0

Mark Johnston — Billing Profile & Reimbursement Data

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Mark Johnston — 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