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

Why is the Medicaid comparison limited to West Virginia 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. West Virginia (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.

Jessica Gotham (NPI 1518205251)

Field	Value
Entity Type	Individual
Organization	Jessica Gotham
Address	500 Cherry St
City	Bluefield
State	WV
ZIP	24701
Taxonomy	Certified Registered Nurse Anesthetist
NPI Enumerated	January 30, 2013

Payer Source	Total Paid
Medicare	$22.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
00790	The provider performs anesthesia services for a patient undergoing intraperitoneal procedures in the upper abdomen, including laparoscopy, which are not specified by any other anesthesia code.	30	$230	$6K
01638	The provider performs anesthesia services for a patient undergoing replacement of the shoulder joint.	20	$300	$5.1K
00840	The provider performs anesthesia services for a patient undergoing intraperitoneal procedures in the lower abdomen, including laparoscopy, which are not specified by any other anesthesia code.	20	$220	$4.7K
01402	The provider performs anesthesia services for a patient undergoing an open or arthroscopic total knee arthroplasty.	20	$240	$4.3K
01214	The provider performs anesthesia services for a patient undergoing an open total hip arthroplasty.	10	$230	$2.5K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. West Virginia Distribution

Jessica Gotham — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
01402	38	80	20	$150	$3.5K
01638	5	10	20	$190	$3.3K
01214	26	30	10	$160	$2.7K
00790	7	50	10	$150	$2.6K
00840	3	30	20	$140	$2.2K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Jessica Gotham, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Clinic Springfield Communities	MO	Family Medicine Physician	$0	$15.1M
Laser And Outpatient Surgery Center LLC	FL	Ambulatory Surgical Clinic/Center	$1.3M	$3.7K
Cara Wright	AR	Anesthesiology Physician	$6.4K	$489.2K
Justin Sirianni	FL	Anesthesiology Physician	$375.3K	$0
Ali Kassamali	GA	Interventional Pain Medicine Physician	$338.3K	$0
Robert Baker	AR	Pediatric Anesthesiology Physician	$330.8K	$0
Jessen Mukalel	TX	Interventional Pain Medicine Physician	$329.4K	$0
Randall Warren	FL	Pain Medicine (Anesthesiology) Physician	$274.5K	$0
Roger Spencer	FL	Pain Medicine (Anesthesiology) Physician	$259.6K	$0
Medhat Reheem	FL	Specialist	$185.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bluefield Hospital Company LLC	WV	General Acute Care Hospital	$0	$12.4M
Bluefield Rescue Squad Inc	WV	Land Ambulance	$770.9K	$7.6M
Community Action South Eastern Wv	WV	Home Health Agency	$0	$2.3M
Bio-medical Applications Of West Virginia, Inc.	WV	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2M
Bluestone Health Association, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$1.8M
Island Medical Bluefield LLC	WV	Emergency Medicine Physician	$0	$1.4M
Icp West Virginia LLC	WV	Emergency Medicine Physician	$0	$1.4M
Stephen Blaydes	WV	Ophthalmology Physician	$406K	$375.8K
George Britton	WV	Optometrist	$66.6K	$109.9K
Khalid Razzaq	WV	Neurology Physician	$115.4K	$11.9K

Jessica Gotham — Billing Profile & Reimbursement Data

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Jessica Gotham — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References