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

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

Charles Whitten (NPI 1528405719)

Field	Value
Entity Type	Individual
Organization	Charles Whitten
Address	4546 S 86th St Ste B
City	Lincoln
State	NE
ZIP	68526
Taxonomy	Pain Medicine (Anesthesiology) Physician
NPI Enumerated	May 28, 2013

Payer Source	Total Paid
Medicare	$804.5K
Medicaid	$0

Key Findings

CHARLES WHITTEN is functionally a Medicare-focused pain medicine practice with total Medicare revenue of $804.5K and no Medicaid billing on file; this makes the provider effectively single-payer (Medicare) in the available claims data and indicates limited or no engagement with state Medicaid programs. The NPI was enumerated on 2013-05-28 (approximately 13 years ago), signaling a stable tenure in the Medicare billing universe that supports the development of a procedure-heavy practice mix.

Revenue concentration is meaningfully skewed toward a small number of high-revenue services: the precomputed top 3 Medicare codes account for 41.1% of this provider’s total Medicare revenue, indicating that a minority of procedures drive a plurality of billing and that business performance is sensitive to those specific services. Those top codes include 99214 ($192.9K, 24.8% of Medicare revenue), 27096 ($70.2K, 9.0%), and 64635 ($56.9K, 7.3%), which together form the central revenue spine of the practice.

The code mix and descriptions point to a pain-specialty procedural practice that pairs office-based evaluation and management with image-guided spine interventions. High-revenue E/M codes like 99214 and 99204 are complemented by large volumes of injections and neurolytic procedures (27096, 64635, 64483, 62323 and multiple facet/neurotomy codes), suggesting the provider’s workflow combines chronic pain management follow-ups and a steady throughput of interventional spine procedures. This mix implies the practice derives revenue both from E/M visits and from higher-reimbursement, image-guided interventions.

On competitive standing, the provider is a national outlier on several procedure codes: 99214 ranks #1009 of 479517 providers (100th percentile, labeled an "extreme outlier"), 27096 ranks #6 of 5443 providers (100th percentile, "extreme outlier"), and 64636 ranks #20 of 4544 providers (100th percentile, "extreme outlier"). These percentiles indicate exceptionally high national volume for specific office visit and procedural codes compared with peers, consistent with a high-throughput interventional pain practice. For a number of other spine injection and facet codes (e.g., 64635 at the 98th percentile, 77002 at the 98th percentile, 76942 at the 98th percentile), the provider is also notably above typical national volumes, reinforcing a strong procedural footprint.

Several commonly billed interventional codes appear at typical or modest national volumes (e.g., 64483 at the 88th percentile; 62323 at the 91st percentile; J0585 at the 39th percentile), indicating that while the provider is an outlier on certain flagship services, other related procedures are within expected ranges for pain medicine providers. This pattern suggests a focused set of high-volume services rather than uniformly elevated billing across all typical pain-medicine codes.

Operational implications for payers and network analysts include concentration risk around the top procedures: because 41.1% of Medicare revenue is from the top three codes, changes in authorization, utilization management, or reimbursement for those services would disproportionately impact practice revenue. Additionally, the absence of Medicaid billing means payer-contracted performance and utilization must be assessed primarily through Medicare claims, and network access or capacity evaluations for state Medicaid populations cannot rely on this provider.

Medicare: Complete Services Breakdown

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

43 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	2,140	$90	$192.9K
27096	The provider performs an injection in the joint between the sacrum and ilium on one side of the body, with the aid of imaging equipment to locate the injection site. He injects an anesthetic to…	440	$160	$70.2K
64635	Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.	230	$240	$56.9K
64483	This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).	220	$200	$43K
62323	The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…	200	$190	$38.4K
64636	In this add on procedure, the provider destroys the facet joint nerve of a lumbar or sacral spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of…	310	$120	$36.5K
64493	The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…	180	$190	$33.6K
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…	500	$60	$32.2K
J0585	Injection, onabotulinumtoxina, 1 unit	5,800	$10	$29K
99204	The provider sees a new 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 provider…	240	$120	$27.7K

Showing 1–10 of 43

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 43 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Nebraska Distribution

Charles Whitten — 12 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nebraska

Full comparison — all codes billed, vs. state median

43 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
63685	3	10	20	$8,770	$157.9K
63650	1	10	40	$2,120	$101.9K
J0585	21	30	8,400	$1	$69.1K
64555	2	10	20	$2,510	$67.9K
0275T	8	20	20	$2,280	$57K
64483	10	60	70	$180	$20K
64635	1	40	40	$360	$19.6K
99214	3	3,210	110	$70	$14.9K
J7328	1	10	26,380	$1	$13.9K
64493	3	40	50	$160	$11.8K

Showing 1–10 of 43

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nebraska Pain Institute, LLC	NE	Pain Clinic/Center	$0	$555.4K
Douglas Spurgeon	NE	Anesthesiology Physician	$369.4K	$0
Christopher Falter	NE	Certified Registered Nurse Anesthetist	$28.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alivation Health, LLC	NE	Psychiatry Physician	$0	$6.5M
The Physician Network	NE	Family Medicine Physician	$0	$3.1M
Silver Sun Mental Health	NE	Counselor	$0	$1.6M
Pine Lake Behavioral Health, LLC.	NE	Clinic/Center	$0	$970.8K
Complete Family Dentistry	NE	Dentist	$0	$915.8K
East Lincoln Family Health Professionals, PC	NE	Family Medicine Physician	$0	$623K
Denes Korpas	NE	Interventional Cardiology Physician	$465.1K	$0
Nebraska Heart Hospital	NE	General Acute Care Hospital	$0	$398.2K
Harpaul Bajwa	NE	Interventional Cardiology Physician	$386.4K	$0
Health At Home Consultants LLC	NE	Adult Health Nurse Practitioner	$0	$386.1K

Charles Whitten — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References