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

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

Edward Taylor (NPI 1578674008)

Field	Value
Entity Type	Individual
Organization	Edward Taylor
Address	8901 W Dodge Rd
City	Omaha
State	NE
ZIP	68114
Taxonomy	Internal Medicine Physician
NPI Enumerated	August 31, 2006

Payer Source	Total Paid
Medicare	$658.9K
Medicaid	$0

Key Findings

This provider has $658.9K in lifetime Medicare revenue and has no Medicaid billing on file, making their public payer footprint effectively single-payer (Medicare-only) based on available records. The NPI was enumerated on 2006-08-31 (~20 years ago), indicating long tenure in the Medicare program but a relatively modest lifetime Medicare revenue total.

Revenue is highly concentrated in a small set of services: the precomputed top three Medicare codes account for 55.1% of the provider’s total Medicare revenue. Those top three are J0897 ($133.9K, 20.7%), 99214 ($112.2K, 17.4%), and 90677 ($110K, 17.0%), so more than half of Medicare dollars flow from one injectable therapy, high-level office E/M visits, and a pneumococcal vaccine product.

The claims mix aligns with an internal medicine / primary care practice that delivers both preventive care and in-office procedures: high-volume vaccine activity (90677 with 393 claims; G0009 with 392 claims) and annual wellness visits (G0438 and G0439) sit alongside frequent E/M visits (99214 with 1.4K claims and 99213 with 493 claims) and in-office injections (J0897 with 7.4K claims). This pattern points to a practice model combining routine primary care, adult immunization campaigns, and administration of office-based injectable therapies.

99214 is an outlier for this provider: it appears as an "extreme outlier" (rank #4628 of 479517, 99th percentile) and contributes $112.2K (17.4%) of Medicare revenue, indicating the provider delivers office visits at volumes far above typical national peers for that code. G0438 (initial annual wellness visit) is also flagged as an "extreme outlier" (rank #38 of 17441, 100th percentile), while G0439 (subsequent AWV) is "notably above typical national volume" (rank #2962 of 105855, 97th percentile), reinforcing that preventive-visit throughput is well above average.

Some high-volume procedural/support services further characterize operations: routine venipuncture 36415 shows 1.7K claims ($13.6K, 2.1%) and ranks at the 99th percentile (typical, unremarkable volume), and basic labs like 85025 appear with 1.1K claims ($8.7K). These tallies indicate substantial in-office throughput and ancillary service utilization that support frequent patient visits.

The practice runs chronic care management programs at meaningful scale: 99490 appears with 1.4K claims and $59.1K (9.1% of Medicare revenue) and is at the 96th percentile (typical, unremarkable volume), with additional CCM time billed under 99439 (121 claims, $4.2K). This combination suggests ongoing panel management for patients with multiple chronic conditions and recurring monthly care-coordination billing.

While some codes show unusually high national standing, other revenue drivers rank as more ordinary relative to peers: J0897 ranks #1741 of 10057 (82th percentile; typical, unremarkable volume) and 90677 ranks #23 of 52451 (100th percentile; typical, unremarkable volume) according to the supplied labels, indicating the practice’s prominence is concentrated in a few services rather than broad dominance across many code lines. Overall, many routine primary-care codes fall in high percentiles (mid-90s to 100th) but are described in the data as "typical, unremarkable" for volume, suggesting the provider is a high-volume primary care operator for a subset of services rather than a large multidisciplinary revenue center.

Given the combination of long Medicare tenure (2006-08-31, ~20 years), concentrated revenue (55.1% from the top three codes), and absence of Medicaid billing, the provider’s strategic exposure is concentrated in Medicare-reimbursed primary care, preventive services, and office-administered injections. Analysts should view this profile as a Medicare-focused internal medicine practice with elevated visit and preventive-service throughput for certain codes (notably 99214 and G0438) but modest total Medicare lifetime revenue in absolute terms.

Medicare: Complete Services Breakdown

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

44 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0897	Injection, denosumab, 1 mg	7,440	$20	$133.9K
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…	1,390	$80	$112.2K
90677	This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…	390	$280	$110K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	1,370	$40	$59.1K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	340	$120	$40.2K
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	240	$150	$36.8K
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…	490	$60	$27.6K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	380	$60	$22.1K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	180	$80	$15.5K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	1,700	$10	$13.6K

Showing 1–10 of 44

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 44 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Nebraska Distribution

Edward Taylor — 8 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nebraska

Full comparison — all codes billed, vs. state median

44 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0897	25	200	2,040	$20	$62.7K
77067	83	190	110	$50	$17.2K
99214	32	3,210	110	$70	$14.9K
99490	4	180	220	$40	$13K
99233	737	830	80	$90	$11.7K
77063	82	180	140	$30	$10.1K
G0439	22	850	70	$90	$8.9K
99232	132	1,390	80	$60	$8.6K
90694	79	480	50	$80	$8.6K
90677	1	420	20	$270	$7.9K

Showing 1–10 of 44

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Physicians Clinic Inc	NE	Family Medicine Physician	$0	$20.5M
Matthew Appenzeller	NE	Ophthalmology Physician	$2.5M	$0
Mark Emig	NE	Ophthalmology Physician	$2.2M	$0
David Ingvoldstad	NE	Ophthalmology Physician	$1.8M	$0
Montgomery County Memorial Hospital	IA	Critical Access Hospital	$0	$1.7M
Bliss O'bryhim	MO	Retina Specialist (Ophthalmology) Physician	$1.5M	$0
Thomas Franco	NE	Physical Medicine & Rehabilitation Physician	$526.6K	$0
Scott Debates	NE	Dermatology Physician	$393.1K	$0
Monty Sellon	NE	Family Medicine Physician	$366K	$0
Joseph Ayoub	IA	Cardiovascular Disease Physician	$361.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's Hospital & Medical Center	NE	Children's Hospital	$0	$89.8M
Children's Physicians	NE	Pediatrics Physician	$0	$39.4M
Nebraska Pediatric Practice, Inc	NE	Pediatrics Physician	$0	$29M
Nebraska Methodist Hospital	NE	General Acute Care Hospital	$0	$14.5M
Smiles 4 Kids PC	NE	General Practice Dentistry	$0	$11.5M
Children's Hospital	NE	Pediatric Emergency Medicine (Pediatrics) Physician	$0	$8.4M
Nebraska Methodist Hospital	NE	Emergency Medicine Physician	$0	$5.3M
Unmc College Of Dentistry	NE	Dentist	$0	$4.8M
Stones Worth Stepping, P.C.	NE	Occupational Therapist	$0	$4.7M
Pacific Surgery Center, LLC	NE	Ambulatory Surgical Clinic/Center	$3.4M	$3.2K

Edward Taylor — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References