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

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

Kevin Hilborn (NPI 1528472552)

Field	Value
Entity Type	Individual
Organization	Kevin Hilborn
Address	465 Memorial Dr
City	Pocatello
State	ID
ZIP	83201
Taxonomy	Family Medicine Physician
NPI Enumerated	June 18, 2014

Payer Source	Total Paid
Medicare	$54.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 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…	350	$60	$20.9K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	120	$90	$10.6K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	70	$130	$9K
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…	100	$90	$9K
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…	30	$90	$2.6K
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	$40	$1.2K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	150	$10	$900
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	20	$60	$870

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Idaho Distribution

Kevin Hilborn — 1 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	307	400	60	$90	$9.4K
99232	49	680	60	$60	$7.3K
99223	104	500	30	$120	$6.6K
99239	47	310	40	$80	$5.1K
99222	10	420	20	$90	$2.9K
99231	109	220	30	$30	$2.1K
99238	118	180	20	$60	$1.6K
93010	98	290	80	$10	$1.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ohiohealth Corporation	OH	Family Medicine Physician	$0	$89.1M
Alliance Physicians Inc	OH	Family Medicine Physician	$0	$38.9M
Commonspirit Oregon	OR	Critical Access Hospital	$0	$13.7M
Jonathan Wiesen	VA	Internal Medicine Physician	$2.4M	$0
Dalia Zaky Dawoud	CA	Nephrology Physician	$824.9K	$0
Zhineng Yang	MO	Hematology & Oncology Physician	$413.4K	$6.9K
Amish Oza	OH	Family Medicine Physician	$387.5K	$0
Hosam Atoom	NJ	Internal Medicine Physician	$362.2K	$0
Mershed Alsamara	MI	Internal Medicine Physician	$296.2K	$0
Iyad Jamali	WA	Cardiovascular Disease Physician	$284.7K	$0

Kevin Hilborn — Billing Profile & Reimbursement Data

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Kevin Hilborn — 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