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 Armed Forces Americas for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Armed Forces Americas 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. Armed Forces Americas (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.

Mark Coomes (NPI 1629208145)

NPI 1629208145 · Apo, AA · Anesthesiology Physician

Mark Coomes is a anesthesiology physician provider located in Apo, Armed Forces Americas. This profile covers 1 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services. Note: "AA" is a US military postal designation for Armed Forces stationed in the Americas (outside the US and Canada) — not a traditional US state; claims coded under it are grouped and benchmarked here the same way a traditional state would be.

NPI 1629208145 · Apo, AA · Anesthesiology Physician

Provider details (source: NPPES NPI Registry)

Field	Value
Entity Type	Individual
Organization	Mark Coomes
Address	23rd Medical Group/sghc
City	Apo
State	AA (Armed Forces Americas)
ZIP	31699
Taxonomy	Anesthesiology Physician
NPI Enumerated	July 17, 2009

Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

Payer Source	Total Paid
Medicare	$760
Medicaid	$0

The provider’s Medicare billing is narrowly focused on vascular monitoring/arterial access procedures: all reported Medicare revenue is tied to code 36620, which describes percutaneous arterial catheter insertion for sampling, transfusion, or continuous real–time blood pressure and heart rate monitoring. This code mix is consistent with anesthesia/critical‑care support in procedural or perioperative settings rather than broad outpatient primary care services.

Revenue is extremely concentrated: the precomputed top-3 Medicare codes account for 100.0% of this provider’s total Medicare revenue, indicating virtually all Medicare dollars reported here derive from a very small set of procedure codes. For practical analysis this means payers and competitors will see this profile as single-service-line activity on Medicare.

Scale of Medicare billing is minimal in absolute dollars: reported total Medicare revenue is $761 while the top code entry lists $770 in revenue from 22 claims at a $35 avg paid/claim. Regardless of the minor arithmetic discrepancy between the two figures, the practical takeaway is that this provider’s Medicare-reported activity is very low-volume in dollar terms.

Volume metrics for 36620 show modest claims activity nationally: 22 claims were reported for code 36620, with an $35 avg paid/claim producing $770 revenue for that code. That count suggests occasional use rather than high-frequency procedural billing, consistent with an anesthesiology specialist who bills episodically for invasive monitoring.

Competitive standing on Medicare for the dominant code is middle-of-the-pack: the provider ranks #4865 of 12809 nationally for code 36620 (59th percentile), described in the source as typical, unremarkable volume for this code. This rank indicates the provider is neither a dominant national biller nor an extreme outlier, but sits near the median national experience for 36620.

Payer mix is effectively single-payer in the available data: Medicare shows $761 in revenue while there is none reported for Medicaid (no Medicaid billing on file). Analysts should treat this profile as Medicare-visible activity only and not infer Medicaid presence or scale from these records.

Tenure of the NPI is long-standing: the NPI was enumerated on 2009-07-17 (~17 years ago). The long enumeration date, combined with very low reported Medicare revenue, suggests the provider may perform services billed through other NPIs or institutional payers, or maintains a limited independent Medicare billing footprint; investigators should review affiliated TINs and facility claims if fuller revenue context is required.

Medicare revenue breakdown by CPT/HCPCS procedure code.

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

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
36620	In this procedure, the provider inserts a catheter percutaneously (through the skin) into an artery and uses this catheter for the purpose of sampling, transfusion, or continuous real–time blood…	20	$40	$770

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes. Note: this provider's state, "AA," is a US military postal designation for Armed Forces stationed in the Americas (outside the US and Canada) — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

Full comparison — all codes billed, vs. state median

Mark Coomes — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References