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

Why is the Medicaid comparison limited to California 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. California (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 Costouros (NPI 1437238565)

Field	Value
Entity Type	Individual
Organization	John Costouros
Address	1706 El Camino Real Ste 100
City	Menlo Park
State	CA
ZIP	94027
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	November 2, 2006

Payer Source	Total Paid
Medicare	$267K
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
23472	In this procedure, the provider performs a total shoulder arthroplasty in which the provider replaces the damaged head of the humerus and the glenoid cavity with prosthetic implants. The provider…	90	$1,320	$114.8K
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…	640	$100	$64.3K
29827	The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and…	20	$990	$22.9K
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…	160	$120	$19.1K
73030	This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.	730	$20	$16.7K
29828	The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair an unstable biceps tendon, the fibrous band that connects the biceps…	20	$490	$10.7K
23020	The provider releases a contracture involving the joint capsule in the shoulder to improve range of motion in a stiff or frozen shoulder.	10	$380	$4.5K
29826	The provider examines the tissue inside the shoulder joint with an arthroscope. He inserts additional instruments and repairs the shoulder blade and coracoacromial ligament to alleviate shoulder…	30	$150	$4.3K
29823	The provider examines the tissue inside the shoulder joint with an arthroscope. He inserts additional instruments and excises extensive damaged tissues in the shoulder joint caused by trauma to the…	30	$140	$3.8K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	50	$50	$2.5K

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. California Distribution

John Costouros — 2 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

13 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
29827	91	290	20	$1,320	$30.3K
29828	22	80	20	$1,390	$26.3K
23472	8	190	20	$870	$26K
99214	3,565	37,970	120	$90	$23.2K
99213	31,566	34,660	80	$70	$13.2K
99204	1,347	19,360	40	$120	$7.2K
29823	32	170	20	$270	$6.3K
20610	1,379	2,790	50	$50	$6K
23020	5	10	20	$230	$5.6K
G0180	699	1,490	30	$40	$3.4K

Showing 1–10 of 13

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
John Dearborn	CA	Adult Reconstructive Orthopaedic Surgery Physician	$1.2M	$0
George Bryan	NV	Physician Assistant	$25.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Winston Vaughan	CA	Specialist	$432.8K	$0
Andrew Newman	CA	Pulmonary Disease Physician	$327.2K	$0
Eric Smith	CA	Diagnostic Radiology Physician	$160.7K	$0
Jana Crain	CA	Diagnostic Radiology Physician	$62.1K	$0

John Costouros — Billing Profile & Reimbursement Data

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John Costouros — 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