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

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

John Aita (NPI 1518956556)

Field	Value
Entity Type	Individual
Organization	John Aita
Address	4545 Cordata Pkwy
City	Bellingham
State	WA
ZIP	98226
Taxonomy	Transplant Hepatology Physician
NPI Enumerated	October 20, 2005

Payer Source	Total Paid
Medicare	$65.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	190	$60	$12.1K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	160	$70	$10.7K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	80	$110	$8.1K
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	40	$180	$6.6K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	80	$70	$5.2K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	50	$100	$4.7K
45378	The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…	30	$120	$3.5K
43255	An esophagogastroduodenoscopy is a procedure to view the esophagus, stomach, and duodenum by means of flexible endoscope through the mouth. During the procedure, the provider stops patient bleeding.	30	$120	$3.4K
45382	The provider examines the colon and rectum using a colonoscope, a tubular instrument with a light source and camera, to identify the source of internal bleeding. He then controls the bleeding in the…	10	$210	$2.7K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	30	$90	$2.6K

Showing 1–10 of 14

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

John Aita — 1 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

14 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
45385	262	380	70	$290	$31K
45380	264	370	60	$190	$16.4K
99233	1,417	2,420	60	$90	$10.4K
43239	114	370	60	$120	$9.3K
99232	613	3,100	70	$60	$7.5K
43248	109	110	30	$180	$7K
45378	23	130	20	$200	$4.2K
45382	2	10	10	$210	$3.6K
45331	2	10	20	$220	$3.5K
99222	98	1,690	20	$100	$3K

Showing 1–10 of 14

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Peacehealth	WA	General Acute Care Hospital	$0	$81.6M
Providence Health & Services Washington	WA	Pulmonary Disease Physician	$0	$78.6M
Peacehealth	WA	Rural Acute Care Hospital	$0	$47.1M
Providence Health & Services Washington	WA	General Acute Care Hospital	$0	$39.9M
Medical Associates Of Englewood, PC	NJ	Internal Medicine Physician	$0	$36.9M
Peacehealth	AK	Critical Access Hospital	$0	$34.3M
Peacehealth	WA	Internal Medicine Physician	$0	$26.1M
Peacehealth	WA	Surgery Physician	$0	$13.5M
Peacehealth	WA	Multi-Specialty Clinic/Center	$0	$12.4M
Providence Health & Services Washington	WA	Clinical Medical Laboratory	$1.6M	$9.3M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lummi Indian Business Council	WA	Recovery Care Clinic/Center	$0	$26.1M
Lummi Indian Business Council	WA	Clinic/Center	$0	$23.3M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$8.6M
Lummi Indian Business Council	WA	Dental Clinic/Center	$0	$8.5M
Infusion Solutions Inc	WA	Home Infusion Agency	$73.8K	$8.3M
Lummi Indian Business Council	WA	Counselor	$0	$7.8M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$6.4M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$4.8M
Eric Subong	WA	Ophthalmology Physician	$4.2M	$0
Bellingham Oral Surgery And Dental Implants	WA	Specialist	$0	$4M

John Aita — 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