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

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

Joe Johnston (NPI 1679507123)

Field	Value
Entity Type	Individual
Organization	Joe Johnston
Address	18707 Hardy Oak Blvd Ste 210
City	San Antonio
State	TX
ZIP	78258
Taxonomy	Surgery Physician
NPI Enumerated	July 10, 2006

Payer Source	Total Paid
Medicare	$38.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
49650	The provider performs laparoscopic repair of an initial inguinal hernia.	30	$330	$10.7K
49505	The provider repairs an initial inguinal hernia on a child, five years of age or older. She pushes the hernia back to reduce it.	20	$380	$8.1K
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…	70	$80	$5.3K
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…	60	$90	$5.1K
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…	40	$100	$3.7K
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…	60	$70	$3.6K
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…	10	$160	$1.7K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Joe Johnston — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	21,909	32,500	110	$80	$17.6K
49650	9	140	20	$500	$9K
99213	17,032	29,790	70	$60	$8.4K
49505	9	50	10	$460	$7K
99204	7,547	16,380	30	$110	$5.6K
99205	4,091	4,320	30	$150	$5.5K
99203	2,218	10,820	30	$70	$3.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ronald Drengler	TX	Medical Oncology Physician	$3.8M	$0
Niraj Pahlajani	TX	Radiation Oncology Physician	$1.4M	$0
Scott Ulmer	TX	Hematology & Oncology Physician	$1.3M	$0
Keith Eyre	TX	Radiation Oncology Physician	$1.1M	$0
Jay Messer	TX	Radiation Oncology Physician	$1M	$0
Sylvia Zubyk	TX	Radiation Oncology Physician	$700.3K	$0
Steven Kalter	TX	Hematology & Oncology Physician	$604K	$0
Vinu Madhusudanannair Kunnuparampil	TX	Hematology & Oncology Physician	$331.9K	$0
Muralidhar Beeram	TX	Medical Oncology Physician	$278.5K	$0
James Szender	TX	Gynecologic Oncology Physician	$88K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bhs Physicians Network, Inc	TX	Family Medicine Physician	$0	$32.1M
Kevin Kempf	TX	Rheumatology Physician	$3.6M	$0
Robert Zajac	TX	Infectious Disease Physician	$3.1M	$0
Gautam Moorjani	TX	Rheumatology Physician	$2.3M	$0
Everett Allen	TX	Rheumatology Physician	$2.3M	$0
Livingston Med Lab LLC	TX	Clinical Medical Laboratory	$81K	$1.7M
Jane Ayala	TX	Rheumatology Physician	$1.7M	$0
Emily Marx	TX	Rheumatology Physician	$1.7M	$0
Christus Santa Rosa Pasc-san Antonio LLC	TX	Ambulatory Surgical Clinic/Center	$1M	$606.9K
Gcsa Ambulatory Surgery Center, LLC	TX	Ambulatory Surgical Clinic/Center	$1.3M	$0

Joe Johnston — Billing Profile & Reimbursement Data

Sign up for Joe Johnston — Billing Profile & Reimbursement Data policy alerts

Joe Johnston — Billing Profile & Reimbursement Data

Sign up for Joe Johnston — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References