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

Why is the Medicaid comparison limited to Rhode Island 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. Rhode Island (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.

Michael Johnson (NPI 1366480592)

Field	Value
Entity Type	Individual
Organization	Michael Johnson
Address	148 W River St Ste 22b
City	Providence
State	RI
ZIP	02904
Taxonomy	Internal Medicine Physician
NPI Enumerated	June 2, 2006

Payer Source	Total Paid
Medicare	$52.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	250	$90	$22.7K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	110	$130	$13.6K
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…	140	$60	$8K
G0442	Annual alcohol misuse screening, 5 to 15 minutes	100	$20	$1.9K
G0444	Annual depression screening, 5 to 15 minutes	100	$20	$1.8K
90480	The provider administers the first or only component of a SARS–CoV–2 (COVID–19) vaccine by intramuscular injection to reduce the patient's risk of contracting COVID–19.	30	$40	$1.3K
G0008	Administration of influenza virus vaccine	40	$30	$1.2K
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	80	$10	$760
87811	The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…	20	$40	$620
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	20	$30	$380

Showing 1–10 of 11

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Rhode Island Distribution

Michael Johnson — 0 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Rhode Island

Full comparison — all codes billed, vs. state median

11 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	353	1,950	100	$80	$11.7K
G0439	120	450	60	$100	$7.7K
99213	551	1,950	70	$60	$7.4K
90480	112	160	90	$40	$5.8K
G0008	166	420	30	$30	$2.5K
87811	14	20	30	$40	$2.4K
99212	315	370	30	$40	$2.2K
G0444	17	80	50	$20	$1.3K
G0447	9	10	40	$30	$1.1K
G0442	7	30	40	$20	$1K

Showing 1–10 of 11

Michael Johnson — Billing Profile & Reimbursement Data

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Michael Johnson — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References