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.

Signify Health, LLC (NPI 1689158487)

Signify Health, LLC is a general practice physician provider located in Dallas, Texas. This profile covers 0 Medicare and 56 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Signify Health, LLC
Address	4055 Valley View Ln Ste 700
City	Dallas
State	TX
ZIP	75244
Taxonomy	General Practice Physician
NPI Enumerated	September 18, 2018

Payer Source	Total Paid
Medicaid	$12.7M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

56 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99344	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider spends at least…	21,200	$220	$4.7M
99343	N/A	20,400	$200	$4.1M
99342	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a low level of medical decision making or the provider spends at least 30…	11,040	$210	$2.3M
99348	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…	7,280	$170	$1.3M
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	3,070	$90	$279.4K
92250	Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…	200	$70	$13.3K
92227	The patient undergoes retinal imaging on one or both eyes in a location other than the reviewing clinical staff’s location. The clinical staff analyzes the images remotely and prepares a report. The…	300	$40	$12K
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	620	$20	$11.2K
93922	Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral	1,240	$10	$7.5K
82565	The lab analyst measures the amount of creatinine in a patient specimen, typically of blood. Creatinine is the waste material generated by the muscle tissue produced from the breakdown of creatine…	50	$160	$7.4K

Showing 1–10 of 56

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.

Claims Volume vs. Texas Distribution

Signify Health, LLC — 4 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

56 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99342	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a low level of medical decision making or the provider spends at least 30…	3	20	50	$100	$387.2K
99343	N/A	2	30	60	$100	$301.5K
99344	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider spends at least…	2	50	30	$150	$145.5K
99499	Use 99499 to report evaluation and management services for which there is no specific code available.	14	30	220	$70	$108.4K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	21	240	300	$30	$36.1K
99348	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…	2	130	90	$80	$35.2K
92250	Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…	133	290	160	$40	$31.4K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	120	680	100	$70	$29K
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	263	670	340	$1	$27.4K
92227	The patient undergoes retinal imaging on one or both eyes in a location other than the reviewing clinical staff’s location. The clinical staff analyzes the images remotely and prepares a report. The…	4	10	1,090	$20	$24.4K

Showing 1–10 of 56

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gentech Laboratories LLC	TX	Clinical Medical Laboratory	$3.3M	$91.8M
Therapy Management Services, LLC.	TX	Home Health Agency	$0	$76.2M
Awh Financial Services LLC	TX	Supports Brokerage Agency	$0	$34M
Signify Health Medical Associates, PLLC	TX	General Practice Physician	$0	$11.3M
Concepta Labs, LLC	TX	Clinical Medical Laboratory	$2.4M	$47.3K
Dedrick Ahmed	TX	Optometrist	$260.4K	$0
Daniel Shropshire	TX	Optometrist	$223.7K	$1.7K
Carlos Marquez De La Plata	TX	Clinical Neuropsychologist	$143.2K	$0
Omali Diagnostics LLC	TX	Clinical Medical Laboratory	$101.6K	$1.7K
Christina Roberts	TX	Family Nurse Practitioner	$67.4K	$0

Signify Health, LLC — Billing Profile & Reimbursement Data

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Signify Health, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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References