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.

Michael Williams (NPI 1538197785)

Field	Value
Entity Type	Individual
Organization	Michael Williams
Address	1959 Ne Pacific St
City	Seattle
State	WA
ZIP	98195
Taxonomy	Neurology Physician
NPI Enumerated	June 28, 2006

Payer Source	Total Paid
Medicare	$32.2K
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…	140	$110	$15.6K
G2212	Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary…	320	$30	$8.4K
99205	The provider sees a new 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 provider…	50	$150	$7.3K
62252	The provider reprograms a programmable shunt system, which allows for noninvasive adjustments to correct over or under drainage of cerebrospinal fluid, or CSF.	30	$40	$970

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. Washington Distribution

Michael Williams — 1 of 4 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

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99215	511	4,320	40	$120	$8.4K
99205	387	1,820	30	$150	$5.4K
G2212	6	290	40	$30	$1.6K
62252	1	10	20	$30	$760

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Seattle Children's Hospital	WA	Children's Hospital	$0	$219.4M
Seattle Children's Hospital	WA	Home Infusion Agency	$0	$32.2M
The Association Of Chrmc And University Physicians	WA	Pediatrics Physician	$0	$25M
Seattle Children's Hospital	WA	Specialist	$0	$19.9M
Seattle Children's Hospital	WA	Dental Clinic/Center	$0	$2.8M
Waldo Feng	NV	Pediatric Urology Physician	$0	$2.4M
Abilio Reis	VA	Orthopaedic Surgery Physician	$472K	$0
Parisa Salehi	MN	Physical Medicine & Rehabilitation Physician	$218K	$0
Christine Petersen	OR	Glaucoma Specialist (Ophthalmology) Physician	$217.8K	$0
Frank Virant	WA	Allergy & Immunology Physician	$170.6K	$0

Michael Williams — Billing Profile & Reimbursement Data

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Michael Williams — 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