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

Why is the Medicaid comparison limited to New Jersey 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. New Jersey (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.

William Adams (NPI 1376522839)

Field	Value
Entity Type	Individual
Organization	William Adams
Address	2100 Corlies Ave
City	Neptune
State	NJ
ZIP	07753
Taxonomy	Surgery Physician
NPI Enumerated	January 12, 2006

Payer Source	Total Paid
Medicare	$82.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	780	$70	$54K
19301	The provider removes a lesion, including surrounding margins, or a significant portion (a segment or quadrant) of the breast without removing the entire breast or lymph nodes.	30	$560	$15K
99203	The provider sees a new 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 provider…	80	$90	$6.7K
38525	The provider surgically removes the lymph nodes in the deep axilla through an open incision. He may send them to the laboratory for analysis. The provider performs the procedure as an investigation…	20	$190	$3K
38900	The provider injects a nonradioactive dye into the tissues surrounding the lymph nodes. The provider examines the lymph nodes during the procedure to detect the presence of disease and identify the…	20	$120	$1.8K
19000	The provider drains out the fluid from a breast cyst by inserting a needle into it.	20	$90	$1.6K
76942	Ultrasonography uses sound waves of higher frequencies (above the normal hearing capacity of a healthy human, i.e., 20 kHz) to visualize inner organs. When the sound waves pass through the human…	10	$50	$710

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Jersey Distribution

William Adams — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
19301	22	70	20	$610	$15.9K
99213	542	14,090	100	$70	$13.1K
38525	22	50	20	$290	$5.2K
99203	1,412	5,660	40	$80	$4.8K
38900	14	30	20	$120	$2K
76942	290	370	20	$40	$1.9K
19000	2	10	20	$80	$1.6K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hmh Hospitals Corporation	NJ	General Acute Care Hospital	$0	$128.2M
Children's Center Programs, LLC	NJ	Developmentally Disabled Services Day Training Agency	$0	$44.6M
Nj Certified Dermatology PC	NJ	Dermatology Physician	$0	$14.9M
Coastal Ear Nose And Throat, LLC	NJ	Otolaryngology Physician	$0	$13.3M
Preferred Home Healthcare & Nursing Services, Inc.	NJ	Home Health Agency	$0	$13M
Jsas Healthcare, Inc.	NJ	Methadone Clinic	$480K	$12.3M
Neptune Adult Day Health Center, Inc.	NJ	Adult Day Care Clinic/Center	$0	$12.5M
Meridian Hospitals Corporation	NJ	General Acute Care Hospital	$0	$11.8M
Morning Glory Behavioral Health Partial Care Program LLC	NJ	Adult Mental Health Clinic/Center	$0	$10M
Alternative Counseling Method LLC	NJ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.9M

William Adams — Billing Profile & Reimbursement Data

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William Adams — 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