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

Why is the Medicaid comparison limited to Unspecified Location 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. Unspecified Location (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.

Ola Adams (NPI 1376956755)

Field	Value
Entity Type	Individual
Organization	Ola Adams
Address	12 Market Street
City	Harare
State	XX (Unspecified Location)
ZIP	HARAR
Taxonomy	Internal Medicine Physician
NPI Enumerated	June 3, 2014

Payer Source	Total Paid
Medicare	$33.6K
Medicaid	$0

Key Findings

This provider’s Medicare billing is narrowly focused on high-acuity inpatient initial hospital/observation E/M codes, with 99223 and 99222 together accounting for 100.0% of the reported Medicare revenue. The code descriptions indicate the practice is delivering initial hospital inpatient or observation evaluation and management services that involve substantial medical decision making and extended encounter time, consistent with inpatient-focused internal medicine work.

Revenue concentration is extreme on Medicare: the top 3 Medicare codes by revenue account for 100.0% of this provider’s Medicare revenue, and 99223 alone represents $28.2K (84.2% of the provider’s Medicare revenue). This level of concentration implies the provider’s Medicare business is highly dependent on a very small set of inpatient E/M services.

Payer mix is effectively single-payer: total Medicare revenue is $33.6K while there is no Medicaid billing on file. Analysts should treat this provider as a Medicare-only reporter in the available data, with no Medicaid footprint to evaluate or compare.

Competitive standing on Medicare for 99223 is strong: the provider’s volume for 99223 ranks #7291 of 139583 providers nationally (95th percentile) and is described as notably above typical national volume for this code. That percentile and descriptor indicate the provider is a high-volume national outlier for that specific inpatient initial E/M service.

By contrast, 99222 is a more modest contributor: 57 claims generated $5.3K (15.8% of Medicare revenue) and the provider ranks #25622 of 117621 providers nationally (78th percentile). The data describe this as a typical, unremarkable volume for 99222, signaling that the provider’s dominance is concentrated in the highest-severity initial inpatient visits rather than across multiple inpatient E/M levels.

Tenure in the Medicare program is long-standing: the NPI was enumerated on 2014-06-03 (~12 years ago). That length of enrollment supports interpretation of these billing patterns as an established practice pattern rather than a short-term anomaly.

Given the code mix and revenue distribution, the provider’s operational profile likely centers on inpatient consults or hospital-based admitting work by an internal medicine physician, with limited ambulatory or non-Medicare service lines visible in the dataset. Payers and network analysts should interpret growth or utilization trends through the lens of inpatient E/M activity rather than outpatient office visits.

Because the provider has no Medicaid billing on file, any state-level competitive comparison or Medicaid-specific network impact cannot be assessed from this dataset. Analysts seeking a fuller picture of local market participation or dual-coverage behavior will need supplemental sources beyond these Medicare-only records.

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
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	210	$130	$28.2K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	60	$90	$5.3K

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. Note: this provider's state, "XX," is a placeholder CMS uses when a provider's practice-location state wasn't reported — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

View: State1 / 2

Claims Volume vs. Unspecified Location Distribution

Ola Adams — 2 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Unspecified Location

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99222	2	10	40	$100	$3.9K
99223	1	10	10	$140	$1.6K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jyothi Mallepalli	LA	Rheumatology Physician	$3.2M	$0
Jagan Kothapally	VA	Nephrology Physician	$342.5K	$0
Jerilee Lomas	FL	Internal Medicine Physician	$303.7K	$0
Rupesh Vakil	NJ	Pulmonary Disease Physician	$279.4K	$0
Jesse Mcdonald	FL	Physician Assistant	$261.6K	$0
Mustafa Rikabi	FL	Hospitalist Physician	$255.3K	$3.4K
George Manoukian	TX	Clinical Cardiac Electrophysiology Physician	$228.5K	$0
Paresh Savani	FL	Internal Medicine Physician	$189K	$0
Ibrahim Mansour	NY	Internal Medicine Physician	$173.4K	$0
Ravi Pothireddy	OH	Internal Medicine Physician	$171.5K	$0

Ola Adams — Billing Profile & Reimbursement Data

Sign up for Ola Adams — Billing Profile & Reimbursement Data policy alerts

Ola Adams — Billing Profile & Reimbursement Data

Sign up for Ola Adams — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References