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.

Eric Fountain (NPI 1649513250)

Field	Value
Entity Type	Individual
Organization	Eric Fountain
Address	520 S Eagle Rd
City	Meridian
State	ID
ZIP	83642
Taxonomy	Hematology & Oncology Physician
NPI Enumerated	April 2, 2013

Payer Source	Total Paid
Medicare	$70.3K
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
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…	620	$70	$41.5K
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…	160	$100	$16.6K
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…	80	$100	$7.7K
99205	The provider sees a new 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 provider…	20	$130	$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…	50	$40	$2K

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. Idaho Distribution

Eric Fountain — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	77	2,690	90	$70	$10.4K
99215	74	810	40	$100	$6.5K
99213	1,778	2,770	70	$50	$5.7K
99205	208	310	30	$130	$4.8K
99204	168	1,180	30	$100	$4.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Lukes Clinic-treasure Valley LLC	ID	Family Medicine Physician	$0	$59.2M
St Luke's Clinic LLC	ID	Family Medicine Physician	$0	$39.5M
St Lukes Regional Medical Center	ID	General Acute Care Hospital	$0	$25.1M
St Lukes Clinic-treasure Valley LLC	ID	Family Medicine Physician	$0	$6.9M
St Lukes Clinic-treasure Valley LLC	OR	Rural Health Clinic/Center	$0	$2.1M
St Luke's Regional Medical Center	ID	Home Health Agency	$0	$1.6M
Peter Castellanos	ID	Neurology with Special Qualifications in Child Neurology Physician	$0	$599.5K
David Mcnaul	MO	Diagnostic Radiology Physician	$269.4K	$0
Benjamin Bridges	MD	Hematology & Oncology Physician	$248.9K	$0
Sarah Bolender	ID	Radiation Oncology Physician	$245.1K	$0

Eric Fountain — Billing Profile & Reimbursement Data

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Eric Fountain — 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

Frequently Asked Questions

References