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

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

John Busby (NPI 1578529970)

John Busby is a thoracic surgery (cardiothoracic vascular surgery) physician provider located in Little Rock, Arkansas. This profile covers 11 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	John Busby
Address	9601 Baptist Health Dr
City	Little Rock
State	AR
ZIP	72205
Taxonomy	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
NPI Enumerated	April 25, 2006

Payer Source	Total Paid
Medicare	$97.7K
Medicaid	$0

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
33533	Coronary artery bypass, using arterial graft(s); single arterial graft	30	$1,230	$35.8K
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	$520	$17.3K
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…	100	$160	$14.9K
35301	The provider removes thrombus and plaques from a carotid, vertebral, or subclavian artery through a neck incision.	20	$780	$14.8K
33518	The provider diverts blood flow from damaged vessels in the heart by grafting two vein segments taken from another location, such as the leg, while the patient is undergoing a coronary artery bypass…	20	$290	$4.6K
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…	30	$120	$3.1K
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…	20	$130	$3K
36556	The provider inserts a central venous access catheter in the neck, chest, or groin to draw blood or administer medication or nutrients to a patient 5 years of age or older.	30	$60	$1.6K
33517	The provider diverts blood flow from damaged vessels in the heart by grafting a single vein segment taken from another location, such as the leg, while the patient is undergoing a coronary artery…	10	$130	$1.4K
36620	In this procedure, the provider inserts a catheter percutaneously (through the skin) into an artery and uses this catheter for the purpose of sampling, transfusion, or continuous real–time blood…	30	$30	$890

Showing 1–10 of 11

John Busby — 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
33533	9	20	20	$900	$32.5K
33361	7	30	30	$530	$13.8K
35301	6	10	20	$610	$13.4K
99223	855	1,170	50	$120	$10.6K
99215	560	870	30	$110	$8.5K
99205	29	450	30	$140	$5.5K
33518	8	10	20	$230	$5.4K
36556	25	90	20	$60	$1.4K
33517	3	10	10	$90	$1.1K
36620	31	100	20	$30	$860