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

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

John Demay (NPI 1366447294)

Field	Value
Entity Type	Individual
Organization	John Demay
Address	2930 Hamilton Blvd
City	Sioux City
State	IA
ZIP	51104
Taxonomy	Dermatology Physician
NPI Enumerated	June 16, 2005

Payer Source	Total Paid
Medicare	$826.6K
Medicaid	$0

Key Findings

This provider's Medicare footprint is the sole payer activity on file: Total Medicare revenue is $826.6K and there is no Medicaid billing on file, so the practice is effectively single‑payer (Medicare) in the available claims data. The absence of Medicaid billing limits any in‑state payer mix analysis and suggests the provider does not participate in, or is not billing, Medicaid in a way captured by these records.

Revenue is highly concentrated in a small set of services: the precomputed top 3 Medicare codes account for 76.3% of this provider's total Medicare revenue. Those top three are 77280 (39.2%), G6001 (26.3%), and 99213 (10.8%), indicating most Medicare dollars flow from a narrow procedural/E&M mix and creating exposure if reimbursement or utilization for these specific codes changes.

The code mix points to a service line centered on radiation therapy planning and guidance with supplemental office E/M work: high revenues for 77280 and G6001 (simulation/imaging and ultrasonic guidance for radiation fields) and additional billed radiation therapy planning codes (e.g., 77401, 77427, 77336) indicate the provider’s Medicare activity is concentrated in radiation treatment planning and delivery workflows, while 99213 captures routine office follow‑up visits. For analysts mapping service lines, this blend looks operationally more like radiation therapy–heavy practice activity than a typical purely procedural dermatology panel.

Code 77280 is a pronounced national outlier: the provider reports $324.9K from 77280 (39.2% of Medicare revenue) and ranks #46 of 3348 providers nationally, placing them in the 99th percentile and described as an "extreme outlier, far above typical national volume for this code." That ranking signals the provider is a high‑volume national performer for this specific simulation/imaging service relative to peers.

E/M volume as reflected by 99213 is also unusually large: 1.6K claims generating $89.2K (10.8% of Medicare revenue) place the provider at rank #1883 of 457151 providers nationally and labeled an "extreme outlier, far above typical national volume for this code." This combination of very high procedure (77280) and E/M (99213) volumes suggests substantial patient throughput and recurring visit activity tied to the radiation therapy workflow.

G6001 (ultrasonic guidance for placement of radiation therapy fields) contributes $218.1K (26.3% of Medicare revenue) and, while high in absolute terms, is characterized as a typical/unremarkable volume relative to its peer group (rank #39 of 280 providers, 86th percentile). In plain terms, G6001 activity is sizeable but occurs within a smaller, specialized national cohort of providers who bill this code, so it reinforces the interpretation of a focused radiation therapy practice rather than standing alone as an outlier.

The provider has an established billing history, with the NPI enumerated on 2005-06-16 (~21 years ago), indicating long tenure in Medicare billing. Coupled with the concentrated code mix and outsized rankings on key codes, this longevity suggests the current high-volume service patterns are sustained and not a short‑term anomaly.

Because there is no Medicaid billing on file, competitive assessments at the state Medicaid level cannot be performed; analysts should treat the provider as effectively Medicare‑centric for contracting and network analyses. The combination of national outlier status on key Medicare codes and zero Medicaid claims implies the provider's competitive positioning is most meaningfully evaluated against national Medicare peers, not state Medicaid peers.

Medicare: Complete Services Breakdown

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
77280	The provider uses a simulator or other imaging modality to determine the size and location of ports to be used for radiation therapy. This code describes a simple level service.	1,670	$200	$324.9K
G6001	Ultrasonic guidance for placement of radiation therapy fields	1,670	$130	$218.1K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	1,570	$60	$89.2K
77401	Deleted effective Jan. 1, 2026.	1,620	$30	$48.5K
77427	Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…	320	$140	$44.9K
17000	The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.	590	$40	$24.9K
11102	The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.	190	$70	$12.8K
77336	This code is for reporting ongoing medical physics consultation. When a patient is undergoing radiation treatment for a particular span of time with a number of therapy sessions every week, the…	200	$60	$12.2K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	230	$40	$8.6K
17003	In this add–on procedure, the provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code is appropriate for the second through…	1,560	$10	$7.8K

Showing 1–10 of 25

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Iowa Distribution

John Demay — 3 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Iowa

Full comparison — all codes billed, vs. state median

25 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G6001	2	10	4,770	$130	$623.7K
77401	2	10	4,370	$30	$128.9K
77280	2	40	50	$170	$49.8K
77427	9	40	220	$140	$34.6K
77336	3	10	200	$60	$19.1K
77285	2	10	40	$320	$12.7K
17110	166	200	90	$60	$9.2K
77300	38	40	300	$30	$8.7K
17004	76	90	40	$100	$8.3K
99213	10	4,740	100	$50	$8K

Showing 1–10 of 25

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
David Grote	IA	Medical Physician Assistant	$84.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northwest Iowa Hospital Corporation	IA	General Acute Care Hospital	$0	$22.8M
Northwest Iowa Hospital Corporation	IA	Emergency Medical Services (Emergency Medicine) Physician	$0	$7.9M
Simple Life, Inc.	IA	Community/Behavioral Health Agency	$0	$5.1M
Unitypoint At Home	IA	Durable Medical Equipment & Medical Supplies	$0	$5M
Opportunities Unlimited	IA	Child Mental Illness Respite Care	$0	$2.8M
Anesthesia Consultants PC	IA	Anesthesiology Physician	$0	$1.9M
Siouxland Dental Health	IA	Dentist	$0	$1.8M
Pierce Street Same Day Surgery, Lc	IA	Ambulatory Surgical Clinic/Center	$633.9K	$1.1M
Siouxland Medical Education Foundation, Inc	IA	Family Medicine Physician	$0	$1.3M
Siouxland Hospitalists PLLC	IA	Internal Medicine Physician	$0	$1.1M

John Demay — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References