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

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

Colin Gillespie (NPI 1487716437)

Colin Gillespie is a pulmonary disease physician provider located in Cleveland, Ohio. This profile covers 12 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Provider details (source: NPPES NPI Registry)

Medicare: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Colin Gillespie
Address	9500 Euclid Ave # M2-141
City	Cleveland
State	OH
ZIP	44195
Taxonomy	Pulmonary Disease Physician
NPI Enumerated	December 15, 2006

Payer Source	Total Paid
Medicare	$25.1K
Medicaid	$0

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
31653	The provider inserts a rigid or flexible lighted tubular instrument (endoscope) into the patient's lungs, with or without the aid of fluoroscopy, live X–ray images on a video display. The provider…	20	$170	$4.1K
31628	The provider uses a rigid or flexible bronchoscope to obtain one or more transbronchial biopsies from a single lobe of the lung. The provider may use fluoroscopic guidance.	50	$80	$3.8K
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…	50	$80	$3.4K
31652	The provider inserts a rigid or flexible lighted tubular instrument (endoscope) into the patient's lungs, with or without the aid of fluoroscopy, live X–ray images on a video display. The provider…	20	$140	$2.8K
32555	In this procedure, the provider removes the fluid, blood, or air from the space between the lungs and chest wall using a needle or catheter. He performs the procedure using imaging guidance.	30	$90	$2.7K
31629	The provider uses a diagnostic rigid or flexible bronchoscope to obtain one or more biopsies from the trachea, main stem, and/or lobar bronchus using a transbronchial needle aspiration technique.	20	$110	$2.5K
31627	In this add–on procedure, the provider uses previously taken CT or MRI images integrated with specialized software to facilitate bronchoscopy.	20	$70	$1.5K
99204	The provider sees a new 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 provider…	10	$100	$1.4K
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…	20	$50	$1K
31632	In this add–on procedure, the provider uses a rigid or flexible bronchoscope to obtain one or more transbronchial biopsies from an additional lobe of the lung following biopsy of an initial lobe. The…	20	$40	$870

Showing 1–10 of 12

Colin Gillespie — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	14,340	20,010	100	$70	$11.7K
99213	16,947	20,000	70	$50	$6.6K
99204	6,972	8,330	30	$100	$4.4K
31653	5	20	20	$180	$3.6K
31652	11	30	20	$140	$2.6K
31629	9	30	20	$100	$2.3K
32555	43	160	20	$80	$2.2K
31628	6	30	30	$70	$2.1K
31627	10	20	20	$70	$1.6K
31654	12	20	20	$50	$1.1K