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.

Billy Galligar (NPI 1689053118)

Field	Value
Entity Type	Individual
Organization	Billy Galligar
Address	401 N Whitley Dr
City	Fruitland
State	ID
ZIP	83619
Taxonomy	Hospice and Palliative Medicine (Family Medicine) Physician
NPI Enumerated	May 29, 2015

Payer Source	Total Paid
Medicare	$15.9K
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
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	60	$80	$5.1K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	30	$130	$4.1K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	50	$60	$2.9K
G0316	Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date…	120	$20	$2.7K
99498	The provider or other healthcare professional performs advanced care planning beyond an initial 30 minutes. The provider discusses and shares planning for the future health care needs of the patient…	20	$50	$1.1K

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

Billy Galligar — 0 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
99233	203	400	60	$90	$9.4K
99223	243	500	30	$120	$6.6K
99497	47	110	40	$60	$4.4K
G0316	4	20	60	$20	$1.8K
99498	2	10	30	$50	$1.6K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sarah Chandler	OR	Gerontology Nurse Practitioner	$67.1K	$0
Jessica Evert	ID	Family Medicine Physician	$21.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Snake River Pediatrics, PC	ID	Pediatrics Physician	$0	$5.3M
Snake River Pediatrics, PC	ID	Rural Health Clinic/Center	$0	$3.2M
Edgewood Fruitland Senior Living LLC	ID	Assisted Living Facility	$0	$2.5M
Current Physical Therapy LLC	ID	Physical Therapist	$0	$1.8M
City Of Fruitland	ID	Ambulance	$414.3K	$1.2M
Saint Alphonsus Medical Center- Ontario Inc	ID	Rural Health Clinic/Center	$0	$854.6K
Ryan Hillam	ID	Dentist	$0	$397.4K
Brock Andersen	ID	Dermatology Physician	$265.9K	$0
John Foote	ID	Orthopaedic Surgery Physician	$140.1K	$0
Nicholas Hartley	ID	Physical Therapist	$103.4K	$0

Billy Galligar — Billing Profile & Reimbursement Data

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Billy Galligar — 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

Nearby Providers

Frequently Asked Questions

References