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

Why is the Medicaid comparison limited to West Virginia 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. West Virginia (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.

Isaac Alexis (NPI 1447313762)

Field	Value
Entity Type	Individual
Organization	Isaac Alexis
Address	150 Duncan Road
City	Buckeye
State	WV
ZIP	24924
Taxonomy	General Practice Physician
NPI Enumerated	December 18, 2006

Payer Source	Total Paid
Medicare	$120.7K
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
99344	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider spends at least…	340	$120	$40K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	410	$80	$31.5K
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	140	$180	$24.6K
99350	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…	70	$150	$10.3K
G0318	Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary…	230	$30	$6.1K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	20	$140	$3.3K
G0181	Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and…	40	$90	$3.2K
G0180	Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review…	40	$40	$1.7K

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. West Virginia Distribution

Isaac Alexis — 4 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0439	445	560	60	$120	$9.3K
99350	6	30	40	$120	$6K
99344	1	10	20	$100	$5.6K
99497	2	110	40	$60	$5K
G0438	2	50	20	$160	$5K
G0181	2	10	40	$80	$3.1K
G0318	1	10	60	$20	$1.7K
G0180	9	80	20	$40	$940

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pocahontas Memorial Hospital	WV	Critical Access Hospital	$0	$3.6M
Pocahontas Memorial Hospital	WV	Rural Health Clinic/Center	$0	$3.1M
Pocahontas Memorial Hospital	WV	Ambulance	$133.8K	$270.1K
Tommy Holbrook	WV	Family Medicine Physician	$60.2K	$0

Isaac Alexis — Billing Profile & Reimbursement Data

Sign up for Isaac Alexis — Billing Profile & Reimbursement Data policy alerts

Isaac Alexis — Billing Profile & Reimbursement Data

Sign up for Isaac Alexis — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References