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

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

John Boone (NPI 1609035781)

Field	Value
Entity Type	Individual
Organization	John Boone
Address	14020 Hwy 13 S Ste 350
City	Savage
State	MN
ZIP	55378
Taxonomy	Otolaryngology/Facial Plastic Surgery Physician
NPI Enumerated	June 4, 2008

Payer Source	Total Paid
Medicare	$23.7K
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
99204	The provider sees a new 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 provider…	50	$120	$5.5K
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	$5.2K
31231	In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.	30	$140	$3.6K
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…	40	$90	$3.3K
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…	50	$70	$3.1K
31575	The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.	20	$90	$2.1K
G0268	Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	20	$40	$610
69210	The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.	10	$30	$420

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. Minnesota Distribution

John Boone — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	7,280	10,100	70	$80	$8.1K
31231	52	90	30	$130	$6.2K
99213	4,585	9,120	50	$50	$4K
99204	673	3,340	20	$110	$3.6K
31575	93	150	30	$80	$3.4K
99203	251	2,690	20	$70	$2.3K
69210	154	170	40	$30	$1.5K
G0268	3	10	20	$30	$510

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Reed Smith	CO	Diagnostic Radiology Physician	$493.2K	$0
Trudi Parker	MN	Diagnostic Radiology Physician	$317.2K	$0
Brent King	MN	Diagnostic Radiology Physician	$197.8K	$0
Jillian Karow	MN	Diagnostic Radiology Physician	$183.4K	$0
David Gross	MN	Diagnostic Radiology Physician	$164.3K	$0
Justin Bauer	MN	Diagnostic Radiology Physician	$162.3K	$0
Kayleen Jahangir	MN	Diagnostic Radiology Physician	$151.9K	$0
Nathan Groebner	MN	Diagnostic Radiology Physician	$140.7K	$0
David Morrell	MN	Diagnostic Radiology Physician	$133.7K	$0
Steven Dondlinger	IL	Diagnostic Radiology Physician	$92.1K	$35K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dental Delivery Systems, PA	MN	General Practice Dentistry	$0	$31.5M
Designing Dreams By Loramy Inc	MN	In Home Supportive Care Agency	$0	$9.6M
Julie Schultz	MN	Dermatology Physician	$68.7K	$0
Thuy Nguyen Tran	MN	Family Medicine Physician	$43.7K	$0
Terry Larimer	MN	Physician Assistant	$40.2K	$0

John Boone — Billing Profile & Reimbursement Data

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John Boone — 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