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

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

James Crumb (NPI 1629079793)

Field	Value
Entity Type	Individual
Organization	James Crumb
Address	390 Baymoor Way
City	Lake Mary
State	FL
ZIP	32746
Taxonomy	Physical Medicine & Rehabilitation Physician
NPI Enumerated	August 10, 2005

Payer Source	Total Paid
Medicare	$122.3K
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
G0481	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	490	$150	$74.7K
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…	390	$80	$29.4K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	730	$10	$9.5K
80299	Use 80299 to report therapeutic drug quantitation procedures that do not have a specific code.	200	$20	$3.6K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	370	$10	$3K
82306	The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…	50	$30	$1.5K

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. Florida Distribution

James Crumb — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,224	32,760	140	$90	$25K
G0481	5	220	60	$150	$22.8K
82306	181	920	70	$30	$21.5K
80299	3	10	310	$20	$7.1K
36415	286	6,020	80	$10	$5K
99211	2	1,700	50	$20	$1.5K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mobility Metabolism & Wellness, P.C.	AL	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$0	$1.4M
Rahul Pathak	FL	Internal Medicine Physician	$518.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Quality Assured Services Inc.	FL	Durable Medical Equipment & Medical Supplies	$14.5M	$20.2M
Wpi Acquisition Corp.	FL	Durable Medical Equipment & Medical Supplies	$0	$33.5M
Cap Diagnostics LLC	FL	Clinical Medical Laboratory	$20M	$643.3K
Florida Autism Center	FL	Behavior Analyst	$0	$8.6M
Trumpet Behavioral Health, LLC	FL	Behavior Analyst	$0	$7.7M
Thomas Barnard	FL	Ophthalmology Physician	$4.5M	$6.5K
Filutowski Eye Institute PA	FL	Ambulatory Surgical Clinic/Center	$894.5K	$25.6K
Michael Burton	FL	Plastic and Reconstructive Surgery Physician	$585K	$0
Maha Ansara	FL	Endocrinology, Diabetes & Metabolism Physician	$518.8K	$0
Muhammad Chughtai	FL	Infectious Disease Physician	$518.2K	$0

James Crumb — Billing Profile & Reimbursement Data

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James Crumb — 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