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

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

Richard Cole (NPI 1366496275)

Field	Value
Entity Type	Individual
Organization	Richard Cole
Address	2845 Summer Oaks Dr
City	Bartlett
State	TN
ZIP	38134
Taxonomy	Neurology Chiropractor
NPI Enumerated	May 22, 2006

Payer Source	Total Paid
Medicare	$74.3K
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
98942	The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in five spinal regions.	1,650	$40	$59.5K
98941	The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in three to four spinal regions.	590	$30	$15.3K

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. Tennessee Distribution

Richard Cole — 1 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
98941	161	490	410	$30	$13.9K
98942	1	30	260	$30	$12.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Accredo Health Group Inc	TN	Pharmacy	$0	$165.6M
Memphis Pathology Laboratory	TN	Clinical Medical Laboratory	$14.8M	$61.4M
Support Solutions Of The Mid-south	TN	Community/Behavioral Health Agency	$0	$45M
Fred Thomason	TN	Psychiatry Physician	$0	$25.8M
Infusion Partners LLC	TN	Home Infusion Therapy Pharmacy	$0	$19.8M
Miller Dental Health	TN	Pediatric Dentistry	$0	$12.6M
Alliance Health Services Inc.	TN	Durable Medical Equipment & Medical Supplies	$0	$11.2M
Joseph Ruder	TN	General Practice Dentistry	$0	$7.1M
Helpful Hands, LLC	TN	In Home Supportive Care Agency	$0	$6.6M
Brink & White Pediatric Dental Associates, PLLC	TN	Pediatric Dentistry	$0	$4.7M

Richard Cole — Billing Profile & Reimbursement Data

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Richard Cole — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References