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.

Tycho Kersten (NPI 1568438562)

Field	Value
Entity Type	Individual
Organization	Tycho Kersten
Address	601 W 5th Ave Ste 400
City	Spokane
State	WA
ZIP	99204
Taxonomy	Sports Medicine (Orthopaedic Surgery) Physician
NPI Enumerated	February 28, 2006

Payer Source	Total Paid
Medicare	$59.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
29827	The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and…	30	$830	$21.6K
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…	170	$60	$10.5K
29824	The provider examines the tissue inside the shoulder joint with an arthroscope and inserts additional instruments to remove a portion of the clavicle, or collarbone. An arthroscopic Mumford procedure…	30	$220	$5.8K
29828	The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair an unstable biceps tendon, the fibrous band that connects the biceps…	10	$380	$4.9K
29826	The provider examines the tissue inside the shoulder joint with an arthroscope. He inserts additional instruments and repairs the shoulder blade and coracoacromial ligament to alleviate shoulder…	30	$130	$4.2K
29823	The provider examines the tissue inside the shoulder joint with an arthroscope. He inserts additional instruments and excises extensive damaged tissues in the shoulder joint caused by trauma to the…	30	$110	$3.6K
73221	In this diagnostic procedure, the provider performs a magnetic resonance imaging, or MRI imaging, of any of the joints of a patient’s upper extremity, which can be the shoulder, elbow, wrist, or…	20	$120	$2.1K
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…	30	$80	$1.9K
73030	This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.	60	$30	$1.6K
99203	The provider sees a new 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 provider…	20	$80	$1.2K

Showing 1–10 of 13

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Tycho Kersten — 0 of 13 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

13 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
29828	18	30	20	$1,240	$28.4K
29827	19	90	20	$1,130	$26.1K
99214	9,275	10,860	100	$80	$13.6K
29824	8	30	20	$340	$8.8K
29823	3	40	20	$350	$6.7K
99213	1,771	9,690	60	$60	$6.5K
73221	122	180	30	$90	$4.7K
20610	633	790	50	$50	$3.3K
99203	2,413	3,140	30	$70	$3.3K
29826	7	60	20	$100	$2K

Showing 1–10 of 13

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northwest Orthopaedic Specialists, P.s.	WA	Ambulatory Surgical Clinic/Center	$4.1M	$252.1K
Alexander Reichard	WA	Adult Reconstructive Orthopaedic Surgery Physician	$199K	$0
Tiffany Forquer	WA	Physician Assistant	$195K	$0
Brett Mulawka	WA	Orthopaedic Surgery Physician	$155.9K	$0
Matthew Wallace	WA	Orthopaedic Surgery Physician	$134.4K	$0
Anthony Sestero	WA	Orthopaedic Hand Surgery Physician	$129.7K	$0
Michael Kody	WA	Orthopaedic Surgery Physician	$127.9K	$0
David Baca	WA	Medical Physician Assistant	$110.2K	$0
John Shuster	WA	Orthopaedic Surgery of the Spine Physician	$101.4K	$0
Paul Horn	WA	Orthopaedic Hand Surgery Physician	$94K	$0

Tycho Kersten — Billing Profile & Reimbursement Data

Sign up for Tycho Kersten — Billing Profile & Reimbursement Data policy alerts

Tycho Kersten — Billing Profile & Reimbursement Data

Sign up for Tycho Kersten — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References