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

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

Ryan K Anderson D P M P C (NPI 1639200215)

Ryan K Anderson D P M P C is a foot & ankle surgery podiatrist provider located in Bountiful, Utah. This profile covers 0 Medicare and 47 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Ryan K Anderson D P M P C
Address	596 W 750 S Ste 200
City	Bountiful
State	UT
ZIP	84010
Taxonomy	Foot & Ankle Surgery Podiatrist
NPI Enumerated	March 8, 2007

Payer Source	Total Paid
Medicaid	$3.5M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

47 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…	28,090	$50	$1.3M
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…	5,340	$80	$416.6K
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…	4,370	$70	$297.4K
73630	In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.	11,380	$20	$227.5K
11721	The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.	11,910	$20	$214.4K
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…	1,480	$110	$159.6K
88312	The lab analyst performs the technical lab steps to stain a specimen with a special stain. This code applies to Group I for microorganisms. A qualified provider, typically a pathologist, interprets…	880	$170	$151.5K
76882	The provider uses ultrasound for a limited study of one or more nonvascular structures in an extremity. The image appears in real time on a monitor, and a permanent copy is made and documented in the…	3,770	$30	$105.6K
88381	A clinician, typically a pathologist, performs a manual microdissection of a patient’s specimen, such as a biopsy or tissue preserved from a previous case.	830	$80	$66.6K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	1,000	$60	$59.8K

Showing 1–10 of 47

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Utah providers billing the same CPT/HCPCS codes.

Claims Volume vs. Utah Distribution

Ryan K Anderson D P M P C — 9 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. Utah median

47 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	97	1,340	200	$80	$144K
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…	17	1,360	190	$70	$125K
L1902	Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf	2	10	70	$40	$114.4K
J1100	Injection, dexamethasone sodium phosphate, 1 mg	26	70	410	$50	$93.9K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	116	200	240	$90	$85.8K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	30	100	440	$40	$70.3K
88381	A clinician, typically a pathologist, performs a manual microdissection of a patient’s specimen, such as a biopsy or tissue preserved from a previous case.	2	10	1,190	$60	$66.7K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	33	40	340	$90	$55.4K
11755	This procedural code is used when the physician biopsies the nail plate, bed, hyponychium, proximal nail folds, or lateral nail folds. Each one is a separate procedure.	1	10	1,290	$40	$54.9K
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…	15	270	80	$100	$41.6K

Showing 1–10 of 47

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Anton Cabellon	IN	Nephrology Physician	$1.1M	$0
Sanjay Mohindra	IN	Vascular & Interventional Radiology Physician	$807.8K	$0
Eric Smuclovisky	IN	Vascular & Interventional Radiology Physician	$735.3K	$0
Shawn Isaeff	UT	Vascular & Interventional Radiology Physician	$668K	$0
Ali Golshan	CA	Vascular & Interventional Radiology Physician	$634.3K	$480
Kent Hootman	NM	Diagnostic Radiology Physician	$504.4K	$0
Aaron Frodsham	UT	Vascular & Interventional Radiology Physician	$484K	$0
David Mehr	UT	Anatomic Pathology & Clinical Pathology Physician	$380.4K	$950
Sloane Sterling	UT	Physician Assistant	$303.1K	$0
Jeffrey Stewart	UT	Podiatrist	$198.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bcbu, Inc.	UT	Home Health Agency	$0	$10.2M
Vali Division Of Wasatch, Inc	UT	Community Based Hospice Care Agency	$0	$8.4M
Hospital Corporation Of Utah	UT	General Acute Care Hospital	$0	$6M
South Davis Metro Fire Service Area	UT	Land Ambulance	$317.9K	$3.3M
Rocky Mountain Personal Care LLC	UT	In Home Supportive Care Agency	$0	$3M
Providential Bba Operating LP	UT	Home Health Agency	$0	$1.7M
Tautai Barton Creek, LLC	UT	Assisted Living Facility	$0	$1.5M
Mg Bountiful Subtenant LLC	UT	Assisted Living Facility	$0	$1.3M
Neurobehavioral Center For Growth LLC	UT	Psychologist	$0	$1.2M
Mountain West Surgery Center, LLC	UT	Ambulatory Surgical Clinic/Center	$950.5K	$23.8K

Ryan K Anderson D P M P C — Billing Profile & Reimbursement Data

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Ryan K Anderson D P M P C — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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