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

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

Paige Arthur (NPI 1497240717)

Field	Value
Entity Type	Individual
Organization	Paige Arthur
Address	105 Shepard Ter
City	Madison
State	WI
ZIP	53705
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	June 28, 2018

Payer Source	Total Paid
Medicare	$14.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
67028	The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.	50	$70	$3.8K
67041	In this procedure, the provider removes scar tissue from the retinal membrane that obscures vision. He removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical…	20	$140	$3K
67042	In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina…	10	$140	$1.9K
67108	The provider repairs a detached retina using heat produced by a laser beam or by freezing the tissues. He may attach a scleral buckle to simplify the passage of fluid through and behind the retina or…	10	$130	$1.6K
67036	The provider removes vitreous fluid from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana.	20	$110	$1.6K
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…	30	$40	$1.2K
92134	The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.	70	$20	$1.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wisconsin Distribution

Paige Arthur — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
67028	108	110	310	$80	$43.7K
67042	15	20	20	$870	$20.8K
67041	6	20	20	$960	$20.2K
67108	11	10	20	$960	$17.3K
67036	7	10	20	$850	$15.2K
92134	249	600	60	$30	$4.7K
99213	6,789	9,380	60	$50	$4.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Catalyst, Inc	WI	Home Health Agency	$0	$3.5M
Gordon Crabtree	WI	Ophthalmology Physician	$618.1K	$2.2K
Justin Gottlieb	WI	Ophthalmology Physician	$506K	$0
Andrew Hendrick	WI	Ophthalmology Physician	$503.9K	$0
Mihai Mititelu	WI	Ophthalmology Physician	$366.1K	$140
Alexandra Mcmurray	WI	Child & Adolescent Psychiatry Physician	$102.8K	$183.3K
Kenneth Herrmann	WI	Psychiatry Physician	$44K	$187.8K
John Floberg	WI	Radiation Oncology Physician	$222.7K	$0
Michael Altaweel	WI	Ophthalmology Physician	$200.4K	$0
Walgreen Co	WI	Pharmacy	$184.2K	$11.8K

Paige Arthur — Billing Profile & Reimbursement Data

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Paige Arthur — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References