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

Why is the Medicaid comparison limited to South Dakota 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. South Dakota (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.

Reason Ford (NPI 1619179538)

Field	Value
Entity Type	Individual
Organization	Reason Ford
Address	101 Tower Rd
City	Dakota Dunes
State	SD
ZIP	57049
Taxonomy	Otolaryngology Physician
NPI Enumerated	June 4, 2007

Payer Source	Total Paid
Medicare	$42.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	200	$60	$11K
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…	100	$70	$7.1K
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…	70	$90	$6K
31237	In this procedure, the provider inserts an endoscope into the nasal cavity. She examines the nasal contents. The provider then performs a nasal biopsy, polypectomy, or debridement.	20	$270	$5.1K
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.	50	$90	$4.6K
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.	40	$110	$4.2K
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.	90	$30	$2.7K
42975	After the patient receives sedation and is asleep, the provider uses an endoscope to assess the throat and check the palate and tongue areas. The goal is to determine where airway obstruction is…	20	$70	$990
95117	The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives 2 or more injections at a single visit.	60	$10	$460
92567	In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss.	10	$10	$160

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Dakota Distribution

Reason Ford — 0 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Dakota

Full comparison — all codes billed, vs. state median

10 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	944	1,660	90	$70	$11.4K
99213	303	1,710	80	$50	$6.4K
31231	13	20	40	$120	$5.5K
31237	2	10	20	$270	$4.8K
31575	14	40	40	$70	$3.1K
99203	69	600	30	$60	$2.9K
69210	15	60	50	$30	$2.1K
95117	5	10	110	$10	$1.1K
92567	28	30	70	$10	$950
42975	2	10	20	$60	$830

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ear Nose And Throat Consultants And Hearing Services Plc	SD	Otolaryngology Physician	$0	$2.2M
Leah Noel	SD	Physical Therapist	$68.2K	$0
Sarah Powell	SD	Otolaryngology Physician	$63.5K	$0
Sarah Sitzmann-ruehle	SD	Physical Therapist	$62.3K	$0
Thomas Kenny	SD	Otolaryngology Physician	$51.1K	$0
Jessica Bowman	SD	Family Nurse Practitioner	$44.2K	$0
Jillian Mcdonnell	IA	Physical Therapist	$36.4K	$0
Brooke Buum	SD	Family Nurse Practitioner	$26.7K	$0
Samantha Protexter	SD	Physical Therapist	$23.1K	$0
Mallory Hertz	SD	Physical Therapist	$21.1K	$0

Reason Ford — Billing Profile & Reimbursement Data

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Reason Ford — 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