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

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

Thomas Goodwin (NPI 1649208851)

Thomas Goodwin is a orthopaedic surgery physician provider located in Meridian, Idaho. This profile covers 12 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.

Provider details (source: NPPES NPI Registry)

Medicare: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Thomas Goodwin
Address	3025 W Cherry Ln Ste 205
City	Meridian
State	ID
ZIP	83642
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	June 28, 2006

Payer Source	Total Paid
Medicare	$20.9K
Medicaid	$0

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	30	$120	$3.5K
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…	50	$60	$2.6K
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…	30	$90	$2.5K
73222	In this diagnostic procedure, the provider performs a magnetic resonance imaging of any of the joints of the upper extremity, which can be the shoulder, elbow, wrist, or joints of the hand. The…	10	$170	$2.4K
29823	The provider examines the tissue inside the shoulder joint with an arthroscope. He inserts additional instruments and excises extensive damaged tissues in the shoulder joint caused by trauma to the…	10	$130	$1.7K
73221	In this diagnostic procedure, the provider performs a magnetic resonance imaging, or MRI imaging, of any of the joints of a patient’s upper extremity, which can be the shoulder, elbow, wrist, or…	20	$100	$1.5K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	30	$50	$1.5K
73040	In this procedure, the provider performs imaging supervision and interpretation of a shoulder joint study. The provider injects contrast material and/or air into the patient’s shoulder joint and…	20	$90	$1.5K
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…	20	$70	$1.2K
J0702	Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	200	$10	$1K

Showing 1–10 of 12

Thomas Goodwin — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	2,187	2,690	90	$70	$10.4K
99213	1,827	2,770	70	$50	$5.7K
73221	24	30	60	$60	$4.7K
99204	567	1,180	30	$100	$4.2K
99203	753	1,030	30	$60	$2.5K
20610	145	260	40	$40	$2.3K
73222	6	10	10	$110	$2.2K
29823	13	20	20	$120	$2.2K
99212	453	620	30	$30	$1.5K
73040	1	10	20	$90	$1.5K