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

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

James Mracek (NPI 1588720452)

Field	Value
Entity Type	Individual
Organization	James Mracek
Address	807 Jackson Trace Rd
City	Wetumpka
State	AL
ZIP	36092
Taxonomy	Internal Medicine Physician
NPI Enumerated	December 28, 2006

Payer Source	Total Paid
Medicare	$27.6K
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
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…	180	$120	$20.7K
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…	80	$70	$5.3K
G2212	Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary…	30	$20	$690
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	50	$10	$490
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	70	$10	$350
J1030	Injection, methylprednisolone acetate, 40 mg	20	$10	$140
J1100	Injection, dexamethasone sodium phosphate, 1 mg	90	$0	$0

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. Alabama Distribution

James Mracek — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	4,609	7,330	120	$80	$16.8K
99215	139	1,710	40	$110	$8.1K
36415	889	1,550	100	$10	$4.8K
G2212	10	20	30	$20	$1.7K
96372	1,464	2,500	70	$10	$1.1K
J1030	230	360	40	$10	$340
J1100	1,109	1,430	210	$1	$40

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jackson Hospital & Clinic, Inc.	AL	General Acute Care Hospital	$0	$8.9M
Jackson Hospital And Clinic, Inc.	AL	Emergency Medicine Physician	$0	$1.1M
Jackson Surgery Center, LLC	AL	Ambulatory Surgical Clinic/Center	$734.9K	$41K
Praful Patel	AL	Internal Medicine Physician	$334.2K	$0
Xiongying Chen	AL	Internal Medicine Physician	$286.8K	$0
Brian Sellers	AL	Vascular Surgery Physician	$237.1K	$0
Mukeshkumar Patel	AL	General Practice Physician	$225.6K	$290
Taimoor Hashim	AL	Interventional Cardiology Physician	$210.3K	$0
John Jernigan	AL	Internal Medicine Physician	$202.8K	$0
Himanshu Aggarwal	AL	Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician	$183K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ivy Creek Of Elmore LLC	AL	Rural Health Clinic/Center	$0	$8M
Haynes Ambulance Of Elmore County, L.L.C.	AL	Land Ambulance	$730.3K	$2.2M
Haynes Life Flight LLC	AL	Air Ambulance	$745.6K	$1.1M
Elmore County Health Dept Fp Clinic	AL	Public Health or Welfare Agency	$0	$1.1M
Ivy Creek Of Elmore, LLC	AL	General Acute Care Hospital	$0	$1.1M
Spencer Coleman	AL	Family Medicine Physician	$127.8K	$0
Joseph Vinson	AL	Physical Therapist	$94.5K	$0
Jason Weaver	AL	Physical Therapist	$78.5K	$0
Melissa Myer	AL	Physical Therapist	$70.5K	$0
Tommy Garnett	AL	Public Medicine Podiatrist	$38.7K	$0

James Mracek — Billing Profile & Reimbursement Data

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James Mracek — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References