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 District of Columbia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to District of Columbia 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. District of Columbia (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.

Toby Rogers (NPI 1548625908)

Toby Rogers is a interventional cardiology physician provider located in Washington, District of Columbia. This profile covers 9 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Provider details (source: NPPES NPI Registry)

Medicare: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Toby Rogers
Address	110 Irving St Nw Ste 4b1
City	Washington
State	DC
ZIP	20010
Taxonomy	Interventional Cardiology Physician
NPI Enumerated	December 29, 2015

Payer Source	Total Paid
Medicare	$78.7K
Medicaid	$0

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
33361	The provider uses a catheter to insert an aortic valve replacement through the lumen of a catheter, in a service known as TAVI or TAVR. This code is specific to inserting the valve using a…	30	$650	$20.6K
93456	In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with right heart catheterization. He also performs injections to assess any coronary artery…	40	$260	$10.7K
92928	The provider inserts a catheter through the skin (percutaneous approach) and guides it into the heart's arteries. They deploy one or more stents (small tubes) to keep the artery open and may expand a…	20	$490	$10.4K
93454	In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography in which injections are performed to assess any coronary artery disease or any stenosis…	50	$180	$9.5K
93451	In this procedure, the provider gains percutaneous venous access through the internal jugular, subclavian, or femoral vein under fluoroscopic guidance. He obtains oxygen saturation measurements that…	100	$90	$9K
93458	In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…	30	$230	$7K
93460	The provider performs coronary angiography, an imaging study of the vessels in the heart. He inserts tubing into an artery, typically in the groin or arm, and threads it into both the left and right…	20	$280	$5K
93505	The provider takes a sample of tissue from within the innermost layer of the heart muscle, primarily to check for signs of any damage due to rejection of a heart transplant.	30	$170	$4.5K
92978	In this add–on procedure, the provider advances a catheter into a coronary vessel or previously placed graft using ultrasound or optical coherence tomography to view the extent of the blockage,…	30	$80	$2K

Toby Rogers — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
33361	6	10	40	$650	$38.8K
92928	5	10	20	$490	$21.5K
93460	4	10	20	$300	$16.7K
93456	5	10	50	$260	$13K
93454	3	10	50	$170	$9.1K
93505	3	10	70	$170	$8.9K
93451	3	10	100	$90	$8.1K
93458	5	20	20	$220	$8K
92978	6	10	30	$80	$4.1K