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

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

Jeffrey Hoeksma (NPI 1407296080)

Field	Value
Entity Type	Individual
Organization	Jeffrey Hoeksma
Address	163 Van Buren Rd
City	Caribou
State	ME
ZIP	04736
Taxonomy	Hospitalist Physician
NPI Enumerated	June 27, 2013

Payer Source	Total Paid
Medicare	$58K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	410	$60	$24.1K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	170	$90	$14.6K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	380	$40	$14.1K
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…	50	$90	$4.6K
93016	The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…	30	$10	$390
93018	The provider analyzes and interprets the recording of the electrical activity of the heart to examine for any abnormality in its functioning, including blood pressure and electrocardiograph readings…	30	$10	$250

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maine Distribution

Jeffrey Hoeksma — 3 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99232	34	890	70	$60	$7.1K
99239	10	440	40	$90	$4.4K
99222	60	500	20	$100	$2.8K
99231	2	310	30	$40	$1.8K
93016	54	70	40	$10	$790
93018	58	70	50	$10	$550

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pines Health Services	ME	Internal Medicine Physician	$0	$7.6M
Pines Health Services	ME	Obstetrics & Gynecology Physician	$0	$7.1M
Pines Health Services	ME	Federally Qualified Health Center (FQHC)	$0	$3.7M
Pines Health Services	ME	Family Medicine Physician	$0	$3M
City Of Caribou	ME	General Acute Care Hospital	$0	$3M
Allan Espinosa Morazan	AZ	Medical Oncology Physician	$2.2M	$0
Pines Health Services	ME	Federally Qualified Health Center (FQHC)	$0	$480.1K
Arlene Sussman	MN	Diagnostic Radiology Physician	$242.3K	$29.9K
Eugene Kim	MN	Diagnostic Radiology Physician	$248.2K	$16.1K
Michael Grant	MN	Diagnostic Radiology Physician	$240.8K	$2.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aroostook Home Health Services	ME	Home Health Agency	$0	$15.8M
City Of Caribou	ME	Land Ambulance	$312.2K	$1.6M
Lincare Inc.	ME	Durable Medical Equipment & Medical Supplies	$0	$1.5M
Healing Hearts LLC	ME	Mental Health Counselor	$0	$1M
County Physical Therapy, LLC	ME	Physical Therapist	$0	$802.4K
Your Journey, LLC	ME	Community/Behavioral Health Agency	$0	$676.2K
David Conner	ME	Family Medicine Physician	$45.4K	$579.4K
Craig K. Small O.d. Family Eye Care	ME	Optometrist	$0	$522.7K
New Day Counseling Services, LLC	ME	Community/Behavioral Health Agency	$0	$508.6K
Ninu Sharma	ME	Anatomic Pathology & Clinical Pathology Physician	$109.9K	$1.9K

Jeffrey Hoeksma — Billing Profile & Reimbursement Data

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Jeffrey Hoeksma — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References