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

Why is the Medicaid comparison limited to Arizona 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. Arizona (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 Bennett (NPI 1497762926)

Field	Value
Entity Type	Individual
Organization	James Bennett
Address	1921 W Hospital Dr
City	Tucson
State	AZ
ZIP	85704
Taxonomy	Physical Medicine & Rehabilitation Physician
NPI Enumerated	August 1, 2006

Payer Source	Total Paid
Medicare	$493.1K
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
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	8,410	$60	$471K
99305	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	130	$100	$12.5K
99316	The provider sees a patient for nursing facility discharge management requiring more than 30 minutes.	30	$100	$2.5K
99304	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves straightforward or low medical decision making or the provider…	30	$60	$1.6K
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	50	$30	$1.4K
99315	The provider sees a patient for nursing facility discharge management requiring 30 minutes or less.	20	$60	$1K

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. Arizona Distribution

James Bennett — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arizona

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99308	1	300	130	$50	$16K
99305	14	90	40	$100	$8.1K
99316	61	100	30	$90	$5.5K
99307	28	50	90	$30	$4.2K
99304	14	30	30	$60	$3.6K
99315	25	40	30	$60	$2.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Genesis Ob Gyn PLLC	AZ	Obstetrics & Gynecology Physician	$0	$21.7M
Rasw, PC	AZ	Retina Specialist (Ophthalmology) Physician	$0	$11.6M
Northwest Allied Physicians LLC	AZ	General Practice Physician	$0	$10.3M
Sonora Behavioral Health Hospital, LLC	AZ	Psychiatric Hospital	$0	$9.8M
Southern Arizona Urgent Care LLC	AZ	Urgent Care Clinic/Center	$0	$7.8M
Al Shaafi Medical PC	AZ	Pediatrics Physician	$0	$7.6M
Community Medical Services Arizona-private, LLC	AZ	Methadone Clinic	$0	$7.6M
Pediatrics Gps, Inc	AZ	Pediatrics Physician	$0	$6.2M
Pima Heart Asc LLC	AZ	Ambulatory Surgical Clinic/Center	$3.7M	$59.7K
Ryan Wong	AZ	Retina Specialist (Ophthalmology) Physician	$2.8M	$0

James Bennett — Billing Profile & Reimbursement Data

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James Bennett — 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