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

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

William Anderson (NPI 1457338006)

Field	Value
Entity Type	Individual
Organization	William Anderson
Address	250 Central Ave N
City	Wayzata
State	MN
ZIP	55391
Taxonomy	Internal Medicine Physician
NPI Enumerated	December 26, 2005

Payer Source	Total Paid
Medicare	$126.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	510	$80	$42.5K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	240	$130	$29.6K
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…	200	$60	$10.9K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	80	$130	$10.8K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	770	$10	$6.1K
91320	This code represents a SARS–CoV–2 vaccine product (tris–sucrose formulation) administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 30 mcg/0.3 mL.	40	$130	$5.5K
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	30	$150	$4K
99442	N/A	40	$70	$2.6K
99443	N/A	30	$80	$2.3K
85027	The lab analyst performs a blood count on the red and white blood cells and platelets also known as thrombocytes. He also determines the hemoglobin, typically by spectrophotometry, and the…	380	$10	$2.3K

Showing 1–10 of 23

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Minnesota Distribution

William Anderson — 4 of 23 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. state median

23 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
91320	311	690	30	$130	$11K
99214	121	10,100	70	$80	$8.1K
G0439	10	2,290	40	$120	$6.9K
99215	641	4,060	30	$120	$5.9K
90694	302	1,360	30	$70	$4.3K
99213	591	9,120	50	$50	$4K
90480	613	1,380	30	$40	$3.5K
G0438	93	490	20	$160	$3.3K
G0008	561	2,300	30	$30	$2.2K
99443	76	320	20	$80	$2K

Showing 1–10 of 23

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Park Nicollet Clinic	MN	Family Medicine Physician	$0	$210M
Group Health, Inc.	MN	Multi-Specialty Clinic/Center	$0	$204M
Regions Hospital	MN	General Acute Care Hospital	$0	$44.4M
Saint Joseph Mercy Livingston Hospital	MI	General Acute Care Hospital	$0	$18.3M
Park Nicollet Methodist Hospital	MN	General Acute Care Hospital	$0	$17.2M
Group Health, Inc.	MN	Multi-Specialty Clinic/Center	$0	$14.8M
Group Health, Inc.	MN	Clinical Medical Laboratory	$2.4M	$11.5M
Group Health, Inc.	MN	Multi-Specialty Clinic/Center	$0	$13M
Tria Orthopaedic Center LLC	MN	Orthopaedic Surgery Physician	$0	$7.3M
Group Health, Inc.	MN	Pediatric Dentistry	$0	$5.6M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hammer Residences, Inc.	MN	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$147.7M
Global Home Care Inc	MN	Home Health Agency	$0	$4.7M
Phillip Ecker	MN	Dermatology Physician	$446.2K	$0
John Berestka	MN	Ophthalmology Physician	$148.1K	$0
Christopher Kruthoff	MN	Optometrist	$93.9K	$0
Nicholas Schmitt	MN	Ophthalmic Plastic and Reconstructive Surgery Physician	$84.8K	$0
David Ross	MN	Family Medicine Physician	$46.1K	$0
Lucy Esberg	MN	Interventional Cardiology Physician	$44K	$0

William Anderson — Billing Profile & Reimbursement Data

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William Anderson — 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