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

Why is the Medicaid comparison limited to Texas 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. Texas (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 Giles (NPI 1386662419)

Field	Value
Entity Type	Individual
Organization	William Giles
Address	126 W Main St
City	Gun Barrel City
State	TX
ZIP	75156
Taxonomy	Internal Medicine Physician
NPI Enumerated	July 17, 2006

Payer Source	Total Paid
Medicare	$6.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
93798	The provider supervises the patient while the patient exercises and reviews the patient’s diet with him or her. The patient exercises with continuous ECG monitoring.	600	$10	$6K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	40	$10	$400
93005	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…	10	$1	$40

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

William Giles — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93798	7	30	220	$10	$3.6K
96372	3,305	6,020	50	$10	$810
93005	220	280	20	$1	$330

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Angela Sutherland	TX	Nurse Practitioner	$2.3M	$0
C. Branch	TX	Family Medicine Physician	$695.8K	$0
Anthony Davis	TX	Family Medicine Physician	$640K	$0
Mark Robbins	TX	Vascular Surgery Physician	$545.6K	$0
David Kerns	TX	Vascular Surgery Physician	$482.2K	$0
Yazan Khouri	TX	Cardiovascular Disease Physician	$468.2K	$0
Nghia Truong	TX	Internal Medicine Physician	$384.3K	$0
Taryn Hope	TX	Physician Assistant	$332.4K	$0
William Elfarr	TX	Urology Physician	$325K	$0
Tyrone Miller	TX	Surgery Physician	$322K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Erik Tijerina	TX	Family Nurse Practitioner	$173K	$0

William Giles — Billing Profile & Reimbursement Data

Sign up for William Giles — Billing Profile & Reimbursement Data policy alerts

William Giles — Billing Profile & Reimbursement Data

Sign up for William Giles — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References