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

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

William Anderson (NPI 1598225880)

Field	Value
Entity Type	Individual
Organization	William Anderson
Address	1600 S Brentwood Blvd Ste 700
City	Brentwood
State	MO
ZIP	63144
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	March 22, 2019

Payer Source	Total Paid
Medicare	$4.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
67042	In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina…	20	$140	$2.2K
67113	The provider repairs a complicated detached retina. He removes vitreous humor, the gelatinous material that gives shape to the eye, and peels the retinal membrane. He reattaches the retina with…	10	$160	$2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Missouri Distribution

William Anderson — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
67042	20	30	20	$1,070	$26.8K
67113	9	10	20	$1,170	$25.8K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nicholas Engelbrecht	MO	Retina Specialist (Ophthalmology) Physician	$3.2M	$10K
Kevin Blinder	MO	Retina Specialist (Ophthalmology) Physician	$2.6M	$39.4K
Athanasios Papakostas	MO	Retina Specialist (Ophthalmology) Physician	$2.3M	$103.5K
Bradley Smith	MO	Retina Specialist (Ophthalmology) Physician	$2M	$0
Sabin Dang	MO	Retina Specialist (Ophthalmology) Physician	$1.9M	$1.5K
Avinash Honasoge	MO	Retina Specialist (Ophthalmology) Physician	$1.7M	$480
Alia Durrani	MO	Retina Specialist (Ophthalmology) Physician	$1.5M	$4.6K
Barton Blackorby	MO	Retina Specialist (Ophthalmology) Physician	$1.1M	$0
Daniel Joseph	MO	Retina Specialist (Ophthalmology) Physician	$951.4K	$0
Sweta Kavali	MO	Retina Specialist (Ophthalmology) Physician	$781.8K	$21.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pyramid Homemaker Services, Inc.	MO	In Home Supportive Care Agency	$0	$15.7M
Heeral Shah	MO	Retina Specialist (Ophthalmology) Physician	$1.6M	$0
Sam Martin	MO	Interventional Pain Medicine Physician	$34.1K	$1.3M
Thomas Krummenacher	MO	Retina Specialist (Ophthalmology) Physician	$737.7K	$280
Nicholas Iafe	MO	Retina Specialist (Ophthalmology) Physician	$426.4K	$0
Empowerme Diagnostics LLC	MO	Clinical Medical Laboratory	$271.9K	$0
Rachel Darken	MO	Neurology Physician	$221.4K	$0
Luqi Chi	MO	Neurology Physician	$137.3K	$0
Craig Sorce	MO	Optometrist	$101.8K	$0
Kelsey Melsheimer	MO	Occupational Therapist	$83.1K	$0

William Anderson — Billing Profile & Reimbursement Data

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William Anderson — 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