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.

Felton Anderson (NPI 1588655914)

Field	Value
Entity Type	Individual
Organization	Felton Anderson
Address	106 Irving St Nw
City	Washington
State	DC
ZIP	20010
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	November 3, 2005

Payer Source	Total Paid
Medicare	$371.5K
Medicaid	$0

Key Findings

This provider’s Medicare business is concentrated and outpatient-focused: total Medicare revenue is $371.5K with no Medicaid billing on file, indicating an effectively single-payer (Medicare) practice footprint for the claims in this dataset. The absence of any Medicaid billing on file suggests the provider either does not participate in Medicaid or does not bill Medicaid-covered services in the reported period, so payers should treat this profile primarily as a Medicare servicing clinician.

Revenue concentration is high among a small set of services: the precomputed top-three Medicare codes (99214, 93306, 99213) account for 63.8% of this provider’s Medicare revenue. Individually, 99214 accounts for $103.5K (27.8% of Medicare revenue), 93306 for $79.6K (21.4%), and 99213 for $54.1K (14.5%), which together drive the majority of billed Medicare dollars.

Service-line mix points to a cardiology outpatient and diagnostic imaging practice: high-volume evaluation & management codes 99214 and 99213 are the top revenue contributors, and 93306 (echocardiography) is the second-largest revenue source. Additional procedural lines such as vascular duplex (93880), ambulatory ECG monitoring (93229), and stress testing (93015, 93000) in the top-25 list confirm a combined clinical model of longitudinal outpatient care plus on-site/noninvasive cardiac diagnostics.

Competitive standing is strong for primary E/M work: 99214 ranks #9999 of 479517 providers nationally (98th percentile; notably above typical national volume for this code) and 99213 ranks #11183 of 457151 providers nationally (98th percentile; notably above typical national volume for this code), indicating this provider delivers substantially more office-based cardiology visits than most peers. By contrast, the echocardiography line (93306) ranks #4469 of 24624 providers nationally (82nd percentile; typical, unremarkable volume for this code), which signals solid but not exceptional national standing for imaging services.

Remote care and monitoring appear as a deliberate adjunct to the practice: 99454 (device supply for RPM) shows 180 claims and $7.2K revenue and ranks in the 60th percentile, while 99457 and 99458 (RPM management time) together contribute additional Medicare revenue. This mix suggests active use of remote physiologic monitoring programs alongside in-person visits, consistent with chronic cardiovascular disease management and follow-up workflows.

Operational nuance in code-level volumes: some higher-reimbursement, lower-frequency cardiac monitoring and imaging codes are present — for example, 93229 has 30 claims with $24.3K revenue (6.5% of Medicare revenue) and ranks #1066 of 2091 providers nationally (47th percentile; typical, unremarkable volume for this code) — indicating selective use of ambulatory ECG services rather than heavy reliance on implantable or continuous ambulatory monitoring. These patterns reflect a practice that balances frequent office visits with targeted diagnostic encounters.

Tenure and continuity: the provider’s NPI was enumerated on 2005-11-03 (~21 years ago), supporting a long-standing presence in the market. That tenure, combined with high national percentiles for office E/M codes, suggests established referral relationships and a sustained outpatient caseload over time.

Given the payer mix and code distribution, payers and network planners should view this clinician as a Medicare-centric cardiology resource with heavy reliance on office-based evaluation and targeted cardiac diagnostics. The single-payer exposure (Medicare only in the record) means contracting and utilization management efforts can be focused on Medicare payment and quality pathways rather than dual-payer strategies with Medicaid.

Medicare: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	1,060	$100	$103.5K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	450	$180	$79.6K
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…	780	$70	$54.1K
93880	Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…	150	$180	$27.3K
93229	In this procedure, the provider, typically a technician, places a wearable electrocardiographic monitoring device on the patient, instructs him in its use, and monitors the transmissions, to detect…	30	$810	$24.3K
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…	120	$130	$16K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	40	$420	$15.4K
99496	The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…	50	$180	$8.1K
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…	50	$160	$7.5K
99454	The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.	180	$40	$7.2K

Showing 1–10 of 21

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. District of Columbia Distribution

Felton Anderson — 3 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — District of Columbia

Full comparison — all codes billed, vs. state median

21 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93306	17	80	240	$110	$32.4K
78452	29	40	60	$340	$22.6K
93229	1	10	20	$810	$17K
99214	10	1,400	90	$100	$15.3K
93925	21	30	40	$160	$12.4K
99215	143	660	50	$130	$12.3K
G0439	193	250	60	$140	$12.2K
99457	13	20	100	$40	$11.2K
93880	9	60	40	$130	$11.1K
99454	9	20	180	$50	$9.7K

Showing 1–10 of 21

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Felton P Anderson Md Inc	DC	Specialist	$0	$31.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's Hospital	DC	Children's Hospital	$0	$243.1M
Medstar Washington Hospital Center	DC	General Acute Care Hospital	$0	$239M
Children's Hospital	DC	Pediatrics Physician	$0	$115.3M
Whc Physician Group LLC	DC	General Practice Physician	$0	$93.8M
Medstar Medical Group Radiology, LLC	DC	Diagnostic Radiology Physician	$0	$17.5M
National Rehabilitation Hospital Inc	DC	Rehabilitation Hospital	$0	$16.9M
Hero Dental Of Washington Dc PC	DC	General Practice Dentistry	$0	$11.7M
Medstar Heart Institute LLC	DC	Surgery Physician	$0	$4.8M
Bio-medical Applications Of Columbia Heights, Inc.	DC	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.6M
Washington Hospital Center Corp	DC	General Practice Physician	$0	$3.7M

Felton Anderson — 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