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

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

Royda Elmathil (NPI 1417462086)

Field	Value
Entity Type	Individual
Organization	Royda Elmathil
Address	1500 E Medical Center Dr
City	Ann Arbor
State	MI
ZIP	48109
Taxonomy	Physician Assistant
NPI Enumerated	December 5, 2017

Payer Source	Total Paid
Medicare	$3.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
74230	The provider visualizes and records the patient’s swallowing pattern using barium sulfate contrast and cineradiography/videoradiography; scout neck films and delayed images may be obtained and, if…	80	$20	$1.3K
74270	The provider takes X–rays of the colon after instilling a contrast agent such as barium through the rectum into the colon. The service also includes a scout film of the abdomen taken before the…	30	$30	$780
74221	The provider performs a double–contrast X–ray of the esophagus using high–density barium and an effervescent agent; the procedure includes scout films prior to ingestion of the barium and delayed…	30	$20	$690
74220	The provider uses imaging such as fluoroscopy to visualize the patient’s esophagus, typically while the patient swallows a barium sulfate compound; he views the live images and also records the…	20	$20	$320

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Michigan Distribution

Royda Elmathil — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
74270	1	10	20	$30	$650
74230	12	210	20	$20	$610
74221	5	50	20	$20	$460
74220	22	40	20	$20	$380

Royda Elmathil — Billing Profile & Reimbursement Data

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Royda Elmathil — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References