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

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

Don Nicolas (NPI 1417110370)

Field	Value
Entity Type	Individual
Organization	Don Nicolas
Address	1602 Skipwith Rd
City	Richmond
State	VA
ZIP	23229
Taxonomy	Hospitalist Physician
NPI Enumerated	July 9, 2008

Payer Source	Total Paid
Medicare	$91.3K
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
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…	660	$140	$88.6K
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…	20	$100	$1.9K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	20	$60	$950

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. Virginia Distribution

Don Nicolas — 1 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99223	9	3,660	40	$130	$9.2K
99497	602	740	40	$60	$5.1K
99222	2,134	3,120	30	$100	$4.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southeastern Intensivist Services PC	AR	Hospitalist Physician	$0	$11.5M
Cogent Healthcare Of Montana P C	MT	Internal Medicine Physician	$0	$1.9M
Philip Rizk	VA	Internal Medicine Physician	$497K	$0
Michele Irons	VA	Internal Medicine Physician	$289.9K	$0
Kavitha Krottapalli	VA	Family Medicine Physician	$276.2K	$0
Joshua Mcafee	DE	Internal Medicine Physician	$270.2K	$0
Shahid Chaudhary	MT	Nephrology Physician	$268.2K	$0
Varghese Parambi	MT	Nephrology Physician	$243.5K	$0
John Pullman	MT	Internal Medicine Physician	$202.5K	$0
Michael Perini	VA	Internal Medicine Physician	$171.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hca Health Services Of Virginia Inc	VA	General Acute Care Hospital	$0	$64.5M
Clearr Vission Support Services, Inc	VA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$14.9M
Graceful Hearts Home Care Services LLC	VA	In Home Supportive Care Agency	$0	$5.8M
Virginia Cardiovascular Specialists	VA	Ambulatory Surgical Clinic/Center	$1.9M	$0
Joshua Mcfarlane	VA	Hematology & Oncology Physician	$1.5M	$0
Purvi Shah	VA	Hospice and Palliative Medicine (Internal Medicine) Physician	$1.3M	$0
James Khatcheressian	VA	Hematology & Oncology Physician	$1.1M	$0
Reed Mitchell	VA	Hematology & Oncology Physician	$1M	$0
Christine Browning	VA	Cardiovascular Disease Physician	$816.3K	$0
Rachit Kumar	VA	Hematology & Oncology Physician	$802.4K	$0

Don Nicolas — Billing Profile & Reimbursement Data

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Don Nicolas — 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