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.

Joseph Mccain (NPI 1649211384)

Field	Value
Entity Type	Individual
Organization	Joseph Mccain
Address	8940 N Kendall Dr
City	Miami
State	FL
ZIP	33176
Taxonomy	Oral and Maxillofacial Surgery (Dentist)
NPI Enumerated	June 10, 2006

Payer Source	Total Paid
Medicare	$23.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
29804	The provider inserts an arthroscope into the temporomandibular joint, or the jaw joint, to view the joint and repair damage or disease that cause pain or dysfunction of the jaw, such as…	10	$670	$9.3K
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…	90	$100	$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…	20	$140	$2.5K
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…	30	$80	$1.9K
70355	The provider takes panoramic X–rays of the patient’s upper and lower jaws to diagnose a fracture or injury to the jaw.	60	$10	$570

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

Joseph Mccain — 0 of 5 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

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	19,956	32,760	140	$90	$25K
99213	24,899	30,010	80	$60	$12K
29804	1	10	10	$660	$9.3K
99204	14,965	19,040	40	$110	$7K
70355	5	30	30	$10	$560

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nova Rehabilitation Inc.	FL	Home Health Agency	$0	$44.9M
Baptist Hospital Of Miami Inc	FL	General Acute Care Hospital	$0	$31.8M
Advantis Home Care, Inc.	FL	Home Health Agency	$0	$11.1M
Pediatric Gastroenterology Associates PLLC	FL	Pediatric Gastroenterology Physician	$0	$10.1M
Bio-medical Applications Of Florida, Inc.	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$9.6M
Andrew Schimel	FL	Ophthalmology Physician	$1.8M	$0
Baptist Health Surgery Center LLC	FL	Ambulatory Surgical Clinic/Center	$1.5M	$6.9K
Pedro Lopez	FL	Ophthalmology Physician	$1.1M	$0
Randy Edwards	FL	Acute Care Nurse Practitioner	$787.4K	$0
Thomas Lange	FL	Physical Therapist	$625.7K	$0

Joseph Mccain — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References