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

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

Seth Herway (NPI 1326350398)

Field	Value
Entity Type	Individual
Organization	Seth Herway
Address	1380 E Medical Center Dr
City	Saint George
State	UT
ZIP	84790
Taxonomy	Anesthesiology Physician
NPI Enumerated	July 7, 2010

Payer Source	Total Paid
Medicare	$8.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
00731	The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…	30	$90	$2.4K
00811	The provider performs anesthesia services for a patient undergoing an unspecified lower intestinal endoscopic procedure where the surgical provider introduces an endoscope into the intestines up to…	20	$100	$2.3K
01922	The provider performs anesthesia services for a patient undergoing non–invasive imaging or radiation therapy.	20	$120	$1.8K
00813	The anesthesia provider performs anesthesia services for a patient undergoing both upper and lower intestinal endoscopy where the surgical provider introduces an endoscope into the intestines above…	10	$110	$1.5K
64415	The provider injects one or more anesthetic agents and/or a steroid into the brachial plexus area, a group of nerves in the arm that originates in the neck. Report this code for one or more…	20	$50	$800

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Utah Distribution

Seth Herway — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
00811	58	160	20	$100	$3K
01922	6	20	10	$150	$2.5K
00731	61	200	20	$100	$2.3K
00813	38	60	20	$120	$2.1K
64415	37	70	20	$50	$970

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mountain West Anesthesia LLC	UT	Anesthesiology Physician	$0	$7.5M
Joseph Empey	UT	Pain Medicine (Anesthesiology) Physician	$485.5K	$12.3K
Darin Stettler	UT	Anesthesiology Physician	$214.4K	$0
Timothy Houden	UT	Pain Medicine Physician	$160.2K	$5.5K
Corey Warner	UT	Certified Registered Nurse Anesthetist	$94.4K	$0
Aaron Thornton	WI	Certified Registered Nurse Anesthetist	$80.8K	$0
Jeremy Poulsen	SD	Pain Medicine (Anesthesiology) Physician	$75.6K	$0
Christian Garaycochea	NV	Anesthesiology Physician	$10.6K	$63K
John Skaggs	UT	Critical Care Medicine (Anesthesiology) Physician	$60.9K	$0
David Debenham	UT	Anesthesiology Physician	$46.7K	$0

Seth Herway — Billing Profile & Reimbursement Data

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Seth Herway — 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