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

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

James Walsh (NPI 1417913161)

Field	Value
Entity Type	Individual
Organization	James Walsh
Address	801 S Washington
City	Naperville
State	IL
ZIP	60540
Taxonomy	Vascular Surgery Physician
NPI Enumerated	April 21, 2006

Payer Source	Total Paid
Medicare	$72.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
35301	The provider removes thrombus and plaques from a carotid, vertebral, or subclavian artery through a neck incision.	20	$970	$14.6K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	70	$140	$10.4K
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	$140	$10.1K
37228	N/A	20	$470	$7.5K
35355	The provider removes thrombus and plaques from an iliofemoral artery.	10	$490	$6.9K
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…	60	$100	$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…	50	$110	$5K
37224	N/A	20	$280	$4.4K
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…	30	$70	$2.1K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	20	$70	$1.7K

Showing 1–10 of 13

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Illinois Distribution

James Walsh — 0 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. state median

13 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	12,529	18,540	110	$80	$17.1K
35301	19	40	20	$780	$14.9K
99232	7,457	7,960	90	$60	$12.4K
37228	8	20	20	$620	$11.8K
99223	6,021	6,190	50	$140	$10.4K
99215	1,956	6,240	40	$120	$10.1K
99213	13,273	17,390	70	$60	$8.8K
35355	1	10	10	$490	$6.9K
99204	1,675	8,580	30	$110	$5.6K
99222	1,991	5,730	30	$100	$5.3K

Showing 1–10 of 13

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Neal Khurana	SD	Vascular & Interventional Radiology Physician	$704.3K	$0
Brian Schirf	IN	Vascular & Interventional Radiology Physician	$574.9K	$200
Mark Goodwin	IL	Interventional Cardiology Physician	$244K	$0
George Pontikis	IL	Vascular Surgery Physician	$205.8K	$0
Michael Gaffud	IL	Vascular Surgery Physician	$176.1K	$0
Juan Bonilla	IL	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$164.1K	$0
David Deboer	IL	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$147.5K	$0
William Polito	IL	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$142K	$0
Alyas Chaudhry	IL	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$120.9K	$0
Thomas Webb	IN	Vascular Surgery Physician	$117.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
City Of Naperville Ill	IL	Land Ambulance	$1.1M	$17.3M
Linq Care Inc	IL	Adult Psychiatric/Mental Health Clinical Nurse Specialist	$0	$6.7M
Greatland Home Health Services, Inc.	IL	Home Health Agency	$0	$5.6M
Edward Ambulance Services LLC	IL	Land Ambulance	$1.1M	$2.5M
Naperville Cud 203	IL	Local Education Agency (LEA)	$0	$3.5M
Shantan Reddy	IL	Ophthalmology Physician	$1.2M	$768.5K
William Stephan	IL	Interventional Cardiology Physician	$1.4M	$8.4K
Naperville Surgical Centre LLC	IL	Ambulatory Surgical Clinic/Center	$1.3M	$0
Aman Ali	IL	Cardiovascular Disease Physician	$772.8K	$32.7K
Katrina Nguyen	IL	Emergency Medicine Physician	$654.1K	$112.5K

James Walsh — Billing Profile & Reimbursement Data

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James Walsh — 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