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

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

Leonard Philo (NPI 1396893699)

Field	Value
Entity Type	Individual
Organization	Leonard Philo
Address	1017 S 2nd Ave Ste 3
City	Walla Walla
State	WA
ZIP	99362
Taxonomy	Gastroenterology Physician
NPI Enumerated	January 5, 2007

Payer Source	Total Paid
Medicare	$86.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

15 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…	140	$200	$28.9K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	200	$80	$15.6K
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.	120	$80	$9.6K
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…	70	$110	$7.6K
G0121	Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	30	$180	$5.5K
G0105	Colorectal cancer screening; colonoscopy on individual at high risk	20	$180	$3.8K
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…	50	$70	$3.6K
45378	The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…	20	$120	$2.6K
91110	The provider performs a capsule endoscopy for gastrointestinal tract imaging from esophagus to ileum. He interprets the results and prepares a report for this service.	20	$140	$2.4K
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.	30	$90	$2.4K

Showing 1–10 of 15

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Leonard Philo — 0 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

15 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
45385	77	380	70	$290	$31K
45380	27	370	60	$190	$16.4K
99214	9,275	10,860	100	$80	$13.6K
G0105	129	220	30	$280	$10.2K
43239	54	370	60	$120	$9.3K
G0121	29	140	20	$300	$8K
99213	8,712	9,690	60	$60	$6.5K
91110	8	30	10	$380	$6K
99204	902	4,750	30	$110	$5.2K
45378	42	130	20	$200	$4.2K

Showing 1–10 of 15

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Washington Gastroenterology PLLC	WA	Gastroenterology Physician	$0	$5.1M
Michelle Hendrickx	WA	Family Nurse Practitioner	$481.1K	$0
Nasla Loya	WA	Family Nurse Practitioner	$435.5K	$0
Sharon Barker	WA	Physician Assistant	$434.5K	$0
Mark Lyda	WA	Anatomic Pathology & Clinical Pathology Physician	$400.7K	$0
John Scarborough	WA	Anatomic Pathology & Clinical Pathology Physician	$351.8K	$0
Angela Fields	WA	Anatomic Pathology & Clinical Pathology Physician	$343.1K	$0
Yuen Yee	WA	Gastroenterology Physician	$180.5K	$0
Narendra Siddaiah	WA	Gastroenterology Physician	$137.5K	$0
Stephanie Romine	WA	Family Nurse Practitioner	$128.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Privia Medical Group Washington, PLLC	WA	Rural Health Clinic/Center	$0	$19M
Providence Health & Services - Washington	WA	General Acute Care Hospital	$0	$17.3M
Yakima Valley Farm Workers Clinic	WA	Federally Qualified Health Center (FQHC)	$0	$9.3M
Providence Health & Services - Washington	WA	Family Medicine Physician	$0	$7.6M
Jonathan Gantz	WA	General Practice Dentistry	$0	$4.7M
City Of Walla Walla	WA	Land Ambulance	$527.2K	$4.1M
Providence Health & Services - Washington	WA	Emergency Medicine Physician	$0	$4.3M
Yakima Valley Farm Workers Clinic	WA	Federally Qualified Health Center (FQHC)	$0	$3.7M
Privia Medical Group Washington, PLLC	WA	Clinic/Center	$0	$2.8M
Norco, Inc	WA	Durable Medical Equipment & Medical Supplies	$0	$2.5M

Leonard Philo — Billing Profile & Reimbursement Data

Sign up for Leonard Philo — Billing Profile & Reimbursement Data policy alerts

Leonard Philo — Billing Profile & Reimbursement Data

Sign up for Leonard Philo — 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