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

Why is the Medicaid comparison limited to Tennessee 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. Tennessee (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 Mcdowell (NPI 1437156270)

Field	Value
Entity Type	Individual
Organization	James Mcdowell
Address	417 Northcrest Dr
City	Springfield
State	TN
ZIP	37172
Taxonomy	Surgery Physician
NPI Enumerated	July 7, 2005

Payer Source	Total Paid
Medicare	$8.3K
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
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…	60	$60	$3.7K
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…	20	$120	$2K
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…	20	$90	$1.7K
43999	Use 43999 to report new or unusual procedures on the stomach that do not have an assigned code.	20	$60	$990

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. Tennessee Distribution

James Mcdowell — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	10,430	11,370	120	$80	$16.6K
99213	6,218	11,030	80	$50	$8K
99204	4,430	5,490	30	$100	$5.3K
43999	1	10	20	$60	$990

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
John Kendrick	TN	Vascular Surgery Physician	$597.2K	$0
Patrick Yu	TN	Vascular Surgery Physician	$346.8K	$0
Bryan Fisher	TN	Vascular Surgery Physician	$324.6K	$0
Timothy Bush	TN	Foot & Ankle Surgery Podiatrist	$244.7K	$0
Catherine Bixby	TN	Family Nurse Practitioner	$206.9K	$0
Billy Kim	TN	Vascular Surgery Physician	$198.6K	$0
Robert Garza	TN	Plastic and Reconstructive Surgery Physician	$179.5K	$0
Jimbob Faulk	TN	Vascular Surgery Physician	$136.8K	$0
Mark Sanders	TN	Surgery Physician	$129.8K	$3.5K
Allen Lee	TN	Vascular Surgery Physician	$113.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northcrest Medical Center	TN	General Acute Care Hospital	$0	$7M
Shine Pediatric Therapy	TN	Occupational Therapist	$0	$6.9M
Springfield Health Services, LLC	TN	General Acute Care Hospital	$0	$3.9M
Vip Midsouth, LLC	TN	Rural Health Clinic/Center	$0	$3.2M
Robertson County Government Finance Office	TN	Land Ambulance	$523.3K	$1.9M
Ramesh Chadalavada	TN	Pulmonary Disease Physician	$117.5K	$106.3K
Sonia Murehead	TN	Family Nurse Practitioner	$184.3K	$0
Kevin Davis	TN	Podiatrist	$125.4K	$760
Robert Amonette	TN	Diagnostic Radiology Physician	$105.4K	$0
Seleana Miller	TN	Certified Registered Nurse Anesthetist	$97.5K	$0

James Mcdowell — Billing Profile & Reimbursement Data

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James Mcdowell — 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