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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

Paul Zimmerman (NPI 1588667687)

Field	Value
Entity Type	Individual
Organization	Paul Zimmerman
Address	610 State Farm Rd
City	Boone
State	NC
ZIP	28607
Taxonomy	Primary Podiatric Medicine Podiatrist
NPI Enumerated	May 23, 2005

Payer Source	Total Paid
Medicare	$20.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	70	$70	$4.7K
11721	The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.	180	$20	$4K
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…	80	$50	$3.6K
10060	The provider incises the area of abscess and drains the collection of pus from a lesion, such as a carbuncle, hidradenitis, cyst, furuncle, or paronychia, with the help of surgical instruments. A…	40	$70	$2.7K
97597	The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,…	30	$80	$2.4K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	50	$30	$1.6K
73630	In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.	30	$20	$750
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	10	$40	$620

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

Paul Zimmerman — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
11721	131	250	190	$30	$9.9K
99213	7,589	16,320	70	$50	$7.1K
97597	137	200	40	$50	$3.1K
99203	1,078	5,450	30	$70	$3.1K
99212	1,031	2,890	30	$30	$2.1K
10060	8	90	20	$80	$1.8K
99202	515	700	20	$40	$1.3K
73630	559	1,110	40	$20	$1.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Blue Ridge Pediatric & Adolescent Medicine, Inc	NC	Pediatrics Physician	$0	$13.2M
Watauga Opportunities, Inc	NC	Developmentally Disabled Services Day Training Agency	$0	$7.9M
Ovidiu Negrea	NC	Medical Oncology Physician	$1.8M	$0
Watauga Medics Inc	NC	Ambulance	$487K	$387K
James Logan	NC	Rheumatology Physician	$533.1K	$0
Ronald Stanley	NC	Dermatology Physician	$519.2K	$0
Brittain Tulbert	NC	Dermatology Physician	$405K	$0
Daniel Krontz	NC	Ophthalmology Physician	$320K	$0
Aaron Westphal	NC	MOHS-Micrographic Surgery Physician	$291.4K	$0
David Whittaker	NC	Dermatology Physician	$273K	$0

Paul Zimmerman — Billing Profile & Reimbursement Data

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Paul Zimmerman — 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