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

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

Mark Powell (NPI 1568444958)

Field	Value
Entity Type	Individual
Organization	Mark Powell
Address	125 Buena Vista Cir
City	South Hill
State	VA
ZIP	23970
Taxonomy	Anesthesiology Physician
NPI Enumerated	November 19, 2005

Payer Source	Total Paid
Medicare	$29.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J7320	Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg	2,550	$10	$12.8K
20611	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…	100	$80	$8K
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…	30	$130	$3.8K
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…	20	$60	$1.4K
72100	The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays…	60	$20	$1.3K
72040	The patient has a 2– or 3–view X–ray of the neck vertebrae.	20	$20	$530
73560	In this procedure, the provider takes one or two X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.	20	$20	$380

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Virginia Distribution

Mark Powell — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J7320	7	20	1,860	$10	$30.2K
20611	68	230	60	$70	$10.5K
99213	10,689	12,440	90	$60	$10K
99204	3,890	6,850	40	$110	$5.9K
72100	198	740	30	$20	$1.1K
73560	447	530	30	$20	$990
72040	172	370	20	$20	$650

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Memorial Hospital	VA	General Acute Care Hospital	$0	$35.6M
Personal Homecare Inc	VA	In Home Supportive Care Agency	$0	$6.8M
Graham Powers	VA	Family Medicine Physician	$480.3K	$50.1K
David Powers	VA	Family Medicine Physician	$321.4K	$110.5K
Linda Powers	VA	Endocrinology, Diabetes & Metabolism Physician	$370.3K	$0
Danita Reese	VA	Podiatrist	$128.2K	$94.2K
Kimball Kindley	VA	Dermatology Physician	$182.5K	$0
Robert Powell	VA	Family Nurse Practitioner	$127.1K	$0
John Pearson	VA	Urology Physician	$124.1K	$0
Charles Fergeson	VA	Chiropractor	$47.2K	$0

Mark Powell — Billing Profile & Reimbursement Data

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Mark Powell — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References