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

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

Tilahun Goshu (NPI 1336628551)

Field	Value
Entity Type	Individual
Organization	Tilahun Goshu
Address	417 N 11th St
City	Richmond
State	VA
ZIP	23298
Taxonomy	Acute Care Nurse Practitioner
NPI Enumerated	August 8, 2018

Payer Source	Total Paid
Medicare	$259.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	2,440	$70	$165.9K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	900	$100	$90.7K
99316	The provider sees a patient for nursing facility discharge management requiring more than 30 minutes.	20	$90	$2K
G0317	Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary…	10	$20	$260

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Virginia Distribution

Tilahun Goshu — 2 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	16	790	260	$70	$37K
99310	6	390	70	$110	$14.1K
99316	198	270	40	$90	$5K
G0317	36	40	50	$20	$2.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rahel Yirga	VA	Internal Medicine Physician	$803.8K	$0
James Danner	VA	Family Medicine Physician	$526.1K	$1.9K
William Reed	VA	Family Medicine Physician	$455.1K	$280
David Eki	VA	Family Medicine Physician	$424.9K	$0
Altory Miranda	VA	General Practice Physician	$407.1K	$3.9K
Tayseer Aldaghlas	VA	Family Medicine Physician	$370.7K	$0
Melissa Payne	VA	Family Nurse Practitioner	$343.7K	$0
Daniel Acevedo	VA	Physician Assistant	$343.7K	$0
Scott Bradley	VA	Physical Medicine & Rehabilitation Physician	$342.4K	$510
Jaimie Tahir	VA	Nurse Practitioner	$333.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Virginia Commonwealth University Health System Authority	VA	General Acute Care Hospital	$0	$658.3M
Mcv Associated Physicians	VA	Anesthesiology Physician	$0	$99M
Dentistry Vcu	VA	Dentist	$0	$12.5M
Rekha Kishore	VA	Diagnostic Radiology Physician	$1.1M	$0
Matthew Herczyk	VA	Diagnostic Radiology Physician	$750.5K	$47.4K
Paul Fang	VA	Diagnostic Radiology Physician	$688K	$0
Tahir Khan	VA	Internal Medicine Physician	$480.4K	$8.9K
William Denney	VA	Internal Medicine Physician	$396.1K	$0
Laurie Cuttino	VA	Radiation Oncology Physician	$350.4K	$0
Michelle Garnett	VA	Diagnostic Radiology Physician	$305.4K	$0

Tilahun Goshu — Billing Profile & Reimbursement Data

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Tilahun Goshu — 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