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

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

Randall Hamilton (NPI 1518977412)

Field	Value
Entity Type	Individual
Organization	Randall Hamilton
Address	1111 6th Ave
City	Des Moines
State	IA
ZIP	50314
Taxonomy	Neurology Physician
NPI Enumerated	August 9, 2006

Payer Source	Total Paid
Medicare	$29K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 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…	200	$100	$20.2K
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…	70	$70	$4.7K
64612	In this procedure, the provider injects a chemical on one side of the face to disable the facial nerve and relieve painful facial nerve disorders or abnormal involuntary movements of facial muscles.	30	$110	$3K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	20	$50	$980

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Iowa Distribution

Randall Hamilton — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Iowa

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	2,909	4,690	100	$70	$14.4K
99213	4,275	4,740	100	$50	$8K
99215	68	1,220	30	$110	$6.4K
64612	9	10	60	$100	$6.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Union Associated Physicians Clinic, LLC	IN	Family Medicine Physician	$0	$31.1M
Mercy Clinics Inc	IA	Pediatric Adolescent Medicine Physician	$0	$10.7M
Mercy Clinics Inc	IA	Primary Care Clinic/Center	$0	$3.7M
Mercy Clinics, Inc.	IA	Primary Care Clinic/Center	$0	$2.9M
Mercy Clinics, Inc.	IA	Primary Care Clinic/Center	$0	$2.8M
Catholic Health Initiatives-iowa Corp	IA	Clinical Cardiac Electrophysiology Physician	$0	$2.8M
Mercy Clinics, Inc.	IA	Primary Care Clinic/Center	$0	$2.8M
Mercy Clinics, Inc	IA	Hospitalist Physician	$0	$2.5M
Mercy Clinics, Inc	IA	Maternal & Fetal Medicine Physician	$0	$2.4M
Mercy Clinics, Inc.	IA	Endocrinology, Diabetes & Metabolism Physician	$0	$2.3M

Randall Hamilton — Billing Profile & Reimbursement Data

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Randall Hamilton — 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

Frequently Asked Questions

References