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

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

Gary Atherholt (NPI 1609120617)

Field	Value
Entity Type	Individual
Organization	Gary Atherholt
Address	12605 E 16th Ave
City	Aurora
State	CO
ZIP	80045
Taxonomy	Physician Assistant
NPI Enumerated	October 30, 2012

Payer Source	Total Paid
Medicare	$10.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
36561	A central venous access catheter is a device that the physician inserts beneath the skin to draw blood or administer medication/nutrients to the patient. The catheter's tip must terminate in the…	30	$230	$6.1K
36590	The provider removes a tunneled central venous access device along with the subcutaneous port or pump that was previously placed through a central or peripheral insertion.	20	$130	$2.1K
32555	In this procedure, the provider removes the fluid, blood, or air from the space between the lungs and chest wall using a needle or catheter. He performs the procedure using imaging guidance.	20	$70	$1.5K
77001	Report this code as an add–on code to the primary procedure code, such as central venous access devices (CVAD) placement, replacement, or removal, including accessing the vessel, manipulating the…	30	$10	$380
76937	The provider uses ultrasound to help guide procedures requiring vascular access including central venous, peripheral venous, or arterial access procedures.	30	$10	$300
99152	The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or…	40	$10	$300

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Colorado Distribution

Gary Atherholt — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
36561	7	50	20	$280	$5.2K
32555	20	60	20	$80	$1.9K
36590	2	10	10	$130	$1.8K
99152	209	340	50	$10	$820
76937	80	160	30	$10	$470
77001	26	90	20	$20	$460

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Banner Imaging Services LLC	AZ	Diagnostic Radiology Physician	$0	$12.9M
Benjamin Benson	AZ	Diagnostic Radiology Physician	$1.3M	$0
Sami Sibai	IL	Diagnostic Radiology Physician	$184.8K	$846.8K
Linda Armstrong	GA	Diagnostic Radiology Physician	$643.9K	$175.1K
Andrew Kwak	NJ	Diagnostic Radiology Physician	$808.5K	$0
Caroline Cranford	AZ	Diagnostic Radiology Physician	$724.7K	$0
Myles Mitsunaga	CA	Diagnostic Radiology Physician	$510.8K	$113.9K
Ehab Youssef	MI	Diagnostic Radiology Physician	$613.8K	$0
Robert Hanna	AZ	Diagnostic Radiology Physician	$587.5K	$0

Gary Atherholt — Billing Profile & Reimbursement Data

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Gary Atherholt — 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

Frequently Asked Questions

References