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

Why is the Medicaid comparison limited to Michigan 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. Michigan (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 Boutrous (NPI 1487619722)

Field	Value
Entity Type	Individual
Organization	James Boutrous
Address	20952 E 12 Mile Rd
City	St Clair Shores
State	MI
ZIP	48081
Taxonomy	Urology Physician
NPI Enumerated	April 19, 2006

Payer Source	Total Paid
Medicare	$17.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
50590	Extracorporeal shock wave lithotripsy (ESWL) is a procedure used to destroy calculus (kidney stones) in the kidneys and ureters.	40	$480	$17.1K
81003	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…	10	$1	$20

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Michigan Distribution

James Boutrous — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
50590	4	20	20	$550	$14.8K
81003	1,175	1,210	30	$1	$230

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alliance Physician Services Of Michigan, P.C.	MI	Urology Physician	$0	$8.9M
Michael Shriver	OH	Diagnostic Radiology Physician	$1.1M	$0
Thomas Boike	MI	Radiation Oncology Physician	$935.1K	$0
John Antonucci	MI	Radiation Oncology Physician	$786.7K	$0
Rima Tinawi-aljundi	MI	Anatomic Pathology Physician	$766.3K	$0
Stephen Pomeranz	OH	Diagnostic Radiology Physician	$642.3K	$0
Michael Ghilezan	MI	Radiation Oncology Physician	$627.8K	$0
Frank Vicini	MI	Radiation Oncology Physician	$609.1K	$0
Kenneth Kernen	MI	Urology Physician	$607.6K	$0
Larry Kestin	MI	Radiation Oncology Physician	$562.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Home Life Styles Inc	MI	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$10.9M
Andrew Sulich	MI	Rheumatology Physician	$1.7M	$0
Amar Majjhoo	MI	Rheumatology Physician	$1.6M	$0
City Of St. Clair Shores	MI	Land Ambulance	$448.5K	$1M
Eastside Associates, LLC	MI	Endoscopy Clinic/Center	$677.6K	$2.9K
Juan Frontera	MI	Urology Physician	$432.4K	$0
Shiva Maralani	MI	Urology Physician	$367.9K	$0
Michael Clune	MI	Ophthalmology Physician	$364.7K	$0
Scott Wilkinson	MI	Urology Physician	$349.2K	$0
Richard Cross	MI	Nephrology Physician	$296.6K	$0

James Boutrous — Billing Profile & Reimbursement Data

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James Boutrous — 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