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

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

Donald Graham (NPI 1508962366)

Field	Value
Entity Type	Individual
Organization	Donald Graham
Address	301 N 8th St
City	Springfield
State	IL
ZIP	62701
Taxonomy	Internal Medicine Physician
NPI Enumerated	September 16, 2006

Payer Source	Total Paid
Medicare	$51.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	170	$130	$22.4K
90677	This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…	40	$280	$11.3K
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…	120	$90	$10.7K
90694	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…	50	$80	$3.5K
G0008	Administration of influenza virus vaccine	50	$30	$1.5K
G0009	Administration of pneumococcal vaccine	50	$30	$1.4K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	70	$10	$770
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	30	$10	$170
J3260	Injection, tobramycin sulfate, up to 80 mg	80	$1	$150

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Illinois Distribution

Donald Graham — 1 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	9,071	18,540	110	$80	$17.1K
99215	737	6,240	40	$120	$10.1K
90677	422	2,540	20	$270	$8K
90694	1,029	1,830	60	$70	$6.5K
G0008	2,310	4,590	50	$30	$2.8K
36415	3,299	4,180	90	$10	$2.7K
96372	627	1,520	60	$10	$1.2K
G0009	328	2,730	20	$30	$840
J3260	1	10	30	$1	$80

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ziad Issa	IL	Clinical Cardiac Electrophysiology Physician	$622.3K	$19.9K
Brian Miller	IL	Clinical Cardiac Electrophysiology Physician	$430.6K	$129.9K
Bharath Rajagopalan	IL	Clinical Cardiac Electrophysiology Physician	$468.8K	$7.8K
Shailesh Nandish	IL	Interventional Cardiology Physician	$401.3K	$5.4K
Arti Singh	IL	Cardiovascular Disease Physician	$256.8K	$139.4K
Grant Su	IL	Ophthalmology Physician	$327.5K	$5.9K
Todd Elmore	IL	Neurology Physician	$121.2K	$173.5K
Avinash Murthy	IL	Interventional Cardiology Physician	$175.2K	$36.2K
Brian Baumann	IL	Radiation Oncology Physician	$201.6K	$0
William Stevens	IL	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$190.7K	$0

Donald Graham — Billing Profile & Reimbursement Data

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Donald Graham — 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