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

Why is the Medicaid comparison limited to Utah 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. Utah (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 Potter (NPI 1477942159)

Field	Value
Entity Type	Individual
Organization	James Potter
Address	210 W 300 N
City	Roosevelt
State	UT
ZIP	84066
Taxonomy	Anesthesiology Physician
NPI Enumerated	January 17, 2015

Payer Source	Total Paid
Medicare	$31.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 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…	200	$100	$18.9K
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…	130	$70	$8.4K
20550	Aponeurosis is an abnormal sheet like extension of the tendon. Injection of a tendon or ligament is the medical therapeutic procedure to reduce the aponeurosis formation.	70	$30	$2.3K
76942	Ultrasonography uses sound waves of higher frequencies (above the normal hearing capacity of a healthy human, i.e., 20 kHz) to visualize inner organs. When the sound waves pass through the human…	20	$40	$880
80306	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by instrument–assisted direct optical observation, often utilizing immunoassay, to screen for any number of…	40	$20	$750
J0702	Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	70	$10	$370

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Utah Distribution

James Potter — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	900	4,080	80	$80	$11.6K
99213	1,016	3,680	60	$50	$6.4K
20550	9	90	30	$30	$1.4K
76942	65	130	20	$30	$990
J0702	59	100	90	$1	$740
80306	1	10	40	$20	$740

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Uintah Basin Medical Center	UT	General Acute Care Hospital	$0	$12.9M
Uintah Basin Medical Center	UT	Rural Health Clinic/Center	$0	$6.9M
Northeastern Utah Medical Group	UT	Family Medicine Physician	$0	$4.6M
Uintah Basin Medical Center	UT	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.1M
Uintah Basin Medical Center	UT	Rural Health Clinic/Center	$0	$428.6K
Aaron Weaver	UT	Interventional Cardiology Physician	$412K	$1.3K
Todd Randolph	AR	Anatomic Pathology & Clinical Pathology Physician	$405.5K	$0
Sean Lawless	UT	Cardiovascular Disease Physician	$401.4K	$0
Sean Paulsen	UT	Diagnostic Radiology Physician	$106.4K	$267K
Jason Larson	UT	Emergency Medicine Physician	$28.8K	$332K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Duchesne County School District	UT	Local Education Agency (LEA)	$0	$699.1K
Roosevelt Vision Clinic, PC	UT	Optometrist	$0	$547.4K
Uintah Basin Medical Center	UT	Ambulance	$0	$354.7K
John Blake	UT	MOHS-Micrographic Surgery Physician	$205.3K	$0
Amos Burgess	UT	Emergency Medicine Physician	$27.5K	$176.2K
James White	UT	Physical Medicine & Rehabilitation Physician	$88.6K	$0
Shane Powell	UT	Ophthalmology Physician	$37.4K	$0
Tanya Boren	UT	Family Nurse Practitioner	$30.2K	$0
John Marett	UT	Family Medicine Physician	$27.5K	$0
Trent Bell	UT	Certified Registered Nurse Anesthetist	$24.8K	$0

James Potter — Billing Profile & Reimbursement Data

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James Potter — 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