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

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

John Simpson (NPI 1427050467)

Field	Value
Entity Type	Individual
Organization	John Simpson
Address	700 Sunset Dr
City	Athens
State	GA
ZIP	30606
Taxonomy	Otolaryngology Physician
NPI Enumerated	August 10, 2005
NPI Deactivated	March 23, 2006

Payer Source	Total Paid
Medicare	$90K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	730	$60	$43.5K
69210	The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.	630	$30	$20.1K
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…	140	$90	$11.7K
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…	60	$120	$7.4K
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…	90	$70	$6.3K
G0268	Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	10	$40	$490
92557	The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…	20	$30	$470
92567	In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss.	10	$10	$130

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Georgia Distribution

John Simpson — 2 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	6,279	13,640	120	$80	$17.8K
99213	382	13,360	80	$60	$9.2K
99204	1,610	7,260	30	$110	$5.1K
99203	721	5,350	30	$70	$3.3K
92557	261	300	80	$20	$2.8K
69210	1	340	40	$30	$2.1K
G0268	63	70	20	$30	$1.1K
92567	310	310	80	$10	$1.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sanjay Jain	CA	Diagnostic Radiology Physician	$354.1K	$0
Jon Poling	GA	Neurology Physician	$349.5K	$0
Brian Mitchell	GA	Neurology Physician	$314.3K	$0
Ho Lin	GA	Diagnostic Radiology Physician	$307.3K	$0
Michael Kizziah	GA	Diagnostic Radiology Physician	$303.8K	$0
Daniel Gober	GA	Diagnostic Radiology Physician	$283.9K	$0
Brigid Gerety	NM	Diagnostic Radiology Physician	$240.7K	$0
Eric Pitts	GA	Neurology Physician	$223.2K	$0
Benjamin Knepper	GA	Diagnostic Radiology Physician	$203.4K	$0
Terry Wimpey	GA	Neurology Physician	$190.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Athens Kids Specialists, PC	GA	Pediatrics Physician	$0	$5.2M
Reddy Urgent Care LLC	GA	Urgent Care Clinic/Center	$0	$2.6M
Jeremy Wells	GA	Hematology & Oncology Physician	$1.5M	$0
Subodh Agrawal	GA	Cardiovascular Disease Physician	$1.1M	$0
Athens Spine Procedural Center LLC	GA	Ambulatory Surgical Clinic/Center	$1.1M	$0
Athens Orthopedic Clinic Ambulatory Surgery Center, LLC	GA	Ambulatory Surgical Clinic/Center	$1.1M	$0
Trinity Ems Transport LLC	GA	Land Ambulance	$1.1M	$0
Gordon Schoenfeld	GA	Radiation Oncology Physician	$834K	$0
Cole Steber	GA	Radiation Oncology Physician	$776.6K	$0
Ronald Terry	GA	Radiation Oncology Physician	$600.6K	$0

John Simpson — Billing Profile & Reimbursement Data

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John Simpson — 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