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.

Larry Johnston (NPI 1386036333)

Field	Value
Entity Type	Individual
Organization	Larry Johnston
Address	1215 Duff Ave
City	Ames
State	IA
ZIP	50010
Taxonomy	Gastroenterology Physician
NPI Enumerated	February 28, 2015

Payer Source	Total Paid
Medicare	$67.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	100	$180	$17.7K
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…	50	$130	$6.8K
G0121	Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	40	$160	$5.6K
G0105	Colorectal cancer screening; colonoscopy on individual at high risk	30	$160	$4.4K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	70	$60	$3.9K
43235	The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing.	40	$80	$3.2K
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…	30	$90	$2.9K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	50	$60	$2.8K
43264	The provider performs a diagnostic procedure that combines upper endoscopy and retrograde (reverse) injection of contrast material, a type of dye, into the biliary ducts to obtain fluoroscopic images…	10	$210	$2.7K
99204	The provider sees a new 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 provider…	30	$100	$2.7K

Showing 1–10 of 20

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Iowa Distribution

Larry Johnston — 0 of 20 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

20 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
45385	56	150	80	$250	$29.6K
99214	3,763	4,690	100	$70	$14.4K
45380	125	150	40	$150	$11.5K
G0105	43	90	30	$240	$11.3K
99233	688	910	60	$90	$10.5K
43249	34	50	30	$230	$10.3K
99232	966	1,740	80	$60	$9.3K
43239	74	150	50	$110	$8.8K
99213	4,102	4,740	100	$50	$8K
G0121	18	80	20	$240	$7.8K

Showing 1–10 of 20

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mainstream Living, Inc.	IA	Social Worker	$0	$134.3M
Mcfarland Clinic PC	IA	Multi-Specialty Clinic/Center	$0	$26.7M
Youth And Shelter Services, Inc.	IA	Counselor	$0	$11.4M
Mary Greeley Medical Center	IA	General Acute Care Hospital	$0	$9.1M
Mary Greeley Medical Center	IA	Land Ambulance	$0	$4.4M
Venkatesh Rudrapatna	IA	Hematology & Oncology Physician	$3.4M	$0
Sreenath Kodali	IA	Hematology & Oncology Physician	$3.2M	$0
The Richmond Center	IA	Mental Health Counselor	$0	$2.4M
Sonam Patel	IA	Hematology & Oncology Physician	$1.8M	$0
Joseph Merchant	IA	Hematology & Oncology Physician	$1.8M	$0

Larry Johnston — Billing Profile & Reimbursement Data

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Larry Johnston — 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