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

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

Gary Myron (NPI 1386773174)

Field	Value
Entity Type	Individual
Organization	Gary Myron
Address	350 Peller Rd
City	Lake Geneva
State	WI
ZIP	53147
Taxonomy	Family Medicine Physician
NPI Enumerated	March 5, 2007

Payer Source	Total Paid
Medicare	$33.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 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…	330	$40	$12.5K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	80	$120	$9.6K
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…	170	$60	$9.5K
99304	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves straightforward or low medical decision making or the provider…	20	$60	$1.2K
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…	10	$40	$530

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wisconsin Distribution

Gary Myron — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	2,366	9,800	80	$70	$9.2K
G0439	819	2,350	50	$120	$9.1K
99213	331	9,380	60	$50	$4.7K
99304	11	10	30	$60	$2.8K
99203	2,264	2,820	30	$60	$2.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Health System Corporation	WI	Critical Access Hospital	$0	$9.4M
Total Renal Care Inc	WI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.6M
Youngquist Kennedy Orthodontics, Ltd.	WI	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$1.9M
Spine And Neuro Health And Wellness Center LLC	WI	Ambulatory Surgical Clinic/Center	$978.5K	$0
Shashi Bhushan	WI	Internal Medicine Physician	$340.5K	$0
Jason So	WI	Family Medicine Physician	$257.9K	$37.9K
City Of Lake Geneva	WI	Land Ambulance	$207.1K	$64.6K
Walgreen Co	WI	Pharmacy	$172K	$54.1K
Wisconsin Cvs Pharmacy LLC	WI	Pharmacy	$188.3K	$4K
Cyril Philip	WI	Interventional Pain Medicine Physician	$158.3K	$420

Gary Myron — Billing Profile & Reimbursement Data

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Gary Myron — 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