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

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

Candace Howard-claudio (NPI 1497799118)

Candace Howard-claudio is a diagnostic radiology physician provider located in Jackson, Mississippi. This profile covers 41 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	Candace Howard-claudio
Address	2500 N State St
City	Jackson
State	MS
ZIP	39216
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	June 15, 2006

Payer Source	Total Paid
Medicare	$63.4K
Medicaid	$0

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

41 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
71275	In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…	120	$60	$7.1K
74174	In this procedure, the provider performs computed tomographic angiography of the abdomen and pelvis with contrast and may take noncontrast images as well. After taking the images, he uses a…	80	$80	$5.8K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	800	$10	$4.8K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	70	$60	$4.4K
76770	A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e.Kidneys, urinary bladder, and aorta). This particular code is used when the ultrasound is…	160	$20	$3.9K
75561	The provider uses cardiac magnetic resonance imaging (MRI) to examine the structure and function of heart. She initiates the procedure without administration of contrast and follows it with…	40	$90	$3.6K
74183	The provider performs magnetic resonance imaging of the structures and organs of the abdomen, initially without control and then with additional sequences after injection of contrast.	50	$70	$3.4K
76705	An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…	140	$20	$2.8K
93976	The provider performs a duplex scan of a single organ or a limited area of the abdominal, pelvic, scrotal, or retroperitoneal organs. He performs the procedure to examine the vascular supply to the…	100	$30	$2.7K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	40	$60	$2.5K

Showing 1–10 of 41

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
74177	134	190	140	$70	$12.2K
70450	137	170	290	$30	$9.1K
74176	154	200	110	$60	$8.3K
71045	99	200	730	$10	$5.6K
74178	118	150	40	$110	$5.2K
71275	31	170	70	$60	$4.9K
71260	107	160	90	$40	$4.7K
71250	132	160	100	$40	$4.6K
74183	16	60	30	$100	$4K
72197	29	30	20	$90	$3.6K

Candace Howard-claudio — Billing Profile & Reimbursement Data

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Candace Howard-claudio — 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