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

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

Andrew Silsby (NPI 1447713649)

Field	Value
Entity Type	Individual
Organization	Andrew Silsby
Address	1441 Ne 10th Ave
City	Payette
State	ID
ZIP	83661
Taxonomy	Family Nurse Practitioner
NPI Enumerated	April 13, 2019

Payer Source	Total Paid
Medicare	$650
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	40	$10	$360
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	30	$10	$200
82947	The lab analyst performs a test to measure the amount of glucose in a patient's blood using a method other than a reagent strip.	20	$1	$100

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Idaho Distribution

Andrew Silsby — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
36415	390	490	70	$10	$1.3K
83036	139	250	40	$10	$820
82947	5	10	20	$1	$210

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Valley Family Health Care Inc	ID	Federally Qualified Health Center (FQHC)	$0	$13.9M
Valley Family Heatlh Care, Inc	ID	Federally Qualified Health Center (FQHC)	$0	$3M
Adam Baker	NV	Physician Assistant	$1.8M	$0
Valley Family Health Care, Inc	ID	Federally Qualified Health Center (FQHC)	$0	$340.9K
Aaron Dykstra	SD	Orthopaedic Hand Surgery Physician	$171.5K	$0
Christopher Malcom	ID	Diagnostic Radiology Physician	$99.6K	$0
Kelsey Ferrell	ID	Dermatology Physician	$70.8K	$0
John Gambino	OR	Diagnostic Radiology Physician	$25.3K	$0
Morris Smith	OR	Internal Medicine Physician	$2.3K	$0
Judith Norris	OR	Family Nurse Practitioner	$1.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Healthcare With Heart LLC	ID	Family Medicine Physician	$0	$1M
Insight Counseling & Therapy	ID	Clinical Social Worker	$0	$585.8K
Daniel Iwasa	ID	Optometrist	$97.8K	$0
Ben Barbot	ID	Nurse Practitioner	$29K	$0

Andrew Silsby — Billing Profile & Reimbursement Data

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Andrew Silsby — 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