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 Armed Forces Americas for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Armed Forces Americas 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. Armed Forces Americas (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 Garrett (NPI 1588939664)

Field	Value
Entity Type	Individual
Organization	Paul Garrett
Address	673rd Mdg, 5955 Zeamer Avenue
City	Apo
State	AA (Armed Forces Americas)
ZIP	99506
Taxonomy	Emergency Medicine Physician
NPI Enumerated	March 21, 2012

Payer Source	Total Paid
Medicare	$28.3K
Medicaid	$0

Key Findings

This provider has a very small Medicare billing footprint in absolute terms, with Total Medicare revenue: $28.3K and no Medicaid billing on file (none below). In practice this makes the entity effectively single‑payer (Medicare-only) in the available data and limits comparisons that require a mixed-payer view.

Revenue is highly concentrated in a narrow set of emergency department evaluation-and-management codes: precomputed: top 3 Medicare codes by revenue account for 96.1% of this provider's total Medicare revenue. Those three are 99284 (58.6%), 99285 (21.9%), and 99283 (15.6%), indicating nearly all billed Medicare dollars flow from ED E/M services.

The CPT mix (99284, 99285, 99283) identifies an Emergency Medicine Physician practice model focused on ED evaluations. Activity counts and average payments highlight the concentration: 99284 had 131 claims at $127 avg paid/claim for $16.6K revenue, 99285 had 34 claims at $183 avg paid/claim for $6.2K revenue, and 99283 had 64 claims at $69 avg paid/claim for $4.4K revenue — together these three dominate billed services.

Competitive standing by code is mixed but labeled as typical across the board. For 99284 the provider ranks #8899 of 64306 (86th percentile; typical, unremarkable volume), for 99283 the provider ranks #2243 of 31069 (93th percentile; typical, unremarkable volume), and for 99285 the provider ranks #49729 of 61347 (18th percentile; typical, unremarkable volume), which indicates the provider is not a dominant national player but shows relatively stronger presence on certain ED visit levels while remaining within typical volume expectations.

Ancillary ED activity contributes only a small share of Medicare revenue: 93010 (ECG interpretation) shows 73 claims at $9 avg paid/claim for $657 revenue, representing 2.3% of Medicare revenue and ranking #30678 of 50616 (39th percentile; typical, unremarkable volume). Lower-acuity ED billing (99282) is a minor component with 12 claims at $38 avg paid/claim for $456 revenue (1.6% of Medicare revenue) and ranks #2325 of 3059 (12th percentile; typical, unremarkable volume).

The payer mix is effectively single-payer in the data set — Total Medicare revenue: $28.3K versus no Medicaid billing on file — which concentrates reimbursement and financial risk in Medicare policy and fee schedules. Analysts should be cautious comparing this profile to peers that have material Medicaid exposure, because this provider’s revenue base and case mix are captured only through Medicare.

There are no flagged statistical outliers among the top codes; every listed code is described as having "typical, unremarkable volume," which suggests the provider’s pattern is concentrated but not anomalous relative to national peers. The NPI was enumerated 2012-03-21 (~14 years ago), indicating an established enrollment tenure despite the relatively small Medicare revenue total.

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	130	$130	$16.6K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	30	$180	$6.2K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	60	$70	$4.4K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	70	$10	$660
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	10	$40	$460

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes. Note: this provider's state, "AA," is a US military postal designation for Armed Forces stationed in the Americas (outside the US and Canada) — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

View: State1 / 2

Claims Volume vs. Armed Forces Americas Distribution

Paul Garrett — 2 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Armed Forces Americas

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99284	1	10	40	$110	$6.7K
99285	2	10	30	$150	$5.4K
99283	1	10	60	$70	$4.4K
99282	1	10	10	$40	$460
93010	1	10	60	$10	$420

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Providence Health & Services Washington	AK	General Acute Care Hospital	$0	$2.8M
Darren Shirley	AK	Diagnostic Radiology Physician	$951K	$0
Kenneth Boomgaard	AK	Family Medicine Physician	$296.3K	$0
Ross Dodge	AK	Internal Medicine Physician	$117.5K	$0
Nathan Frank	AK	Optometrist	$116.5K	$0
Paul Basel	AK	Emergency Medicine Physician	$114K	$0
Jaron Coombs	AK	Emergency Medicine Physician	$107.9K	$0
David Otten	AK	Emergency Medicine Physician	$107.1K	$0
Devin Burrup	AK	Emergency Medicine Physician	$100K	$0
Zachary Gibson	AK	Emergency Medicine Physician	$92.9K	$0

Paul Garrett — Billing Profile & Reimbursement Data

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Paul Garrett — 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

Nearby Providers

Frequently Asked Questions

References