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

Why is the Medicaid comparison limited to Unspecified Location 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. Unspecified Location (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.

Jeffrey Pearson (NPI 1528377165)

Field	Value
Entity Type	Individual
Organization	Jeffrey Pearson
Address	Psc 482
City	Okinawa
State	XX (Unspecified Location)
ZIP	96362
Taxonomy	Physician Assistant
NPI Enumerated	September 30, 2010

Payer Source	Total Paid
Medicare	$12.5K
Medicaid	$0

Key Findings

This provider’s payer mix is effectively single-payer at the dataset level: total Medicare revenue is $12.5K while Total Medicaid revenue is none (no Medicaid billing on file). The absence of Medicaid billing means analysts should treat Medicare patterns as the primary window into clinical activity and revenue generation for this NPI.

Revenue is highly concentrated in a very small set of inpatient E/M codes: the precomputed top-3 Medicare codes by revenue account for 100.0% of this provider’s total Medicare revenue. In practice two codes dominate: 99232 generates $11.4K (91.5% of Medicare revenue) and 99231 generates $1.1K (8.5% of Medicare revenue), indicating virtually all Medicare dollars come from follow-up inpatient/observation visits.

The top revenue-driving codes (99232 and 99231) are both subsequent hospital inpatient or observation care E/M codes, which signals a hospital-focused service line. This code mix suggests the clinician’s work is concentrated on inpatient follow-up and observation unit care rather than outpatient primary care or procedural services.

Detailed Medicare volume for 99232 shows 227 claims at $50 avg paid/claim yielding $11.4K revenue (91.5% of this provider's total Medicare revenue); this code ranks #41391 of 177383 providers nationally (77th percentile; typical, unremarkable volume for this code). That percentile position indicates the provider participates at a modest-to-moderate level nationally for this inpatient subsequent visit code rather than being a high-volume outlier.

For 99231 the provider reported 33 claims at $32 avg paid/claim for $1.1K revenue (8.5% of this provider's total Medicare revenue); this code ranks #27727 of 50953 providers nationally (44th percentile; typical, unremarkable volume for this code). The sub-median percentile and low claim count reinforce that 99231 work is a smaller component of the overall billing mix and not a dominant national presence.

Overall competitive standing is modest: the small absolute Medicare total ($12.5K) combined with typical national percentiles for the top codes point to a limited billing footprint rather than a dominant market position. Stakeholders should interpret this NPI as a low-volume, inpatient-focused biller at the national level, with no observable Medicaid activity to broaden its payer exposure.

The NPI tenure is long enough to be established—enumerated on 2010-09-30 (~16 years ago)—but longevity has not translated into large Medicare revenue at this identifier. The pattern of long enumeration with low lifetime Medicare revenue and concentration in hospital E/M codes is consistent with a limited or hospital-focused practice pattern (for example part-time inpatient coverage or site-specific rounding) rather than a high-volume independent ambulatory practice.

Medicare: Complete Services Breakdown

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

2 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…	230	$50	$11.3K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	30	$30	$1.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes. Note: this provider's state, "XX," is a placeholder CMS uses when a provider's practice-location state wasn't reported — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

View: State1 / 2

Claims Volume vs. Unspecified Location Distribution

Jeffrey Pearson — 1 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Unspecified Location

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99232	1	10	110	$60	$6.9K
99231	4	0	N/A	$N/A	$N/A

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eric Santiago	AP (Armed Forces Pacific)	Internal Medicine Physician	$154K	$0
Cameron Colvig	AP (Armed Forces Pacific)	Emergency Medicine Physician	$0	$47.7K
Lydia Hunter	AP (Armed Forces Pacific)	Physical Therapist	$29.5K	$0
Roger Davis	AP (Armed Forces Pacific)	Certified Registered Nurse Anesthetist	$20.3K	$0
Zach Tarrillion	AP (Armed Forces Pacific)	Military Health Care Provider	$5.6K	$0
Victor Gutierrez	AP (Armed Forces Pacific)	Emergency Medicine Physician	$5.4K	$0
Tequilla Pryor	AP (Armed Forces Pacific)	Pediatrics Physician	$0	$3.3K
Kristin Armstrong	AP (Armed Forces Pacific)	Hand Occupational Therapist	$2.1K	$0

Jeffrey Pearson — Billing Profile & Reimbursement Data

Sign up for Jeffrey Pearson — Billing Profile & Reimbursement Data policy alerts

Jeffrey Pearson — Billing Profile & Reimbursement Data

Sign up for Jeffrey Pearson — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References