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

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

Marcus Cornwall (NPI 1689639841)

Field	Value
Entity Type	Individual
Organization	Marcus Cornwall
Address	6975 Se Lake Rd
City	Milwaukie
State	OR
ZIP	97267
Taxonomy	Family Medicine Physician
NPI Enumerated	April 19, 2006

Payer Source	Total Paid
Medicare	$8K
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…	40	$90	$3.3K
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	$60	$3.1K
98926	The provider performs controlled manual pressure in three to four body regions to treat somatic and nonsomatic disorders.	40	$30	$1.3K
98925	The provider performs controlled manual pressure in one or two body regions to treat somatic and nonsomatic disorders.	20	$20	$300
96160	The provider administers a questionnaire aimed at helping to identify a specific health risk to a patient, analyzes the results, assigns a score, and documents the findings. Use this code for each…	30	$1	$50

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. Oregon Distribution

Marcus Cornwall — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oregon

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	4,433	6,070	80	$70	$10.3K
99213	2,864	5,480	60	$50	$5.7K
98926	8	10	50	$30	$2.7K
98925	6	10	30	$20	$550
96160	22	40	30	$1	$70

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Teen Challenge International Pacific Northwest Centers	OR	Community/Behavioral Health Agency	$0	$12.7M
Olson Drug, Inc	OR	Durable Medical Equipment & Medical Supplies	$0	$10.5M
Integrated Health Clinics, LLC	OR	Methadone Clinic	$0	$4.5M
Comtrans Of Oregon, LLC	OR	Non-emergency Medical Transport (VAN)	$16.6K	$3.5M

Marcus Cornwall — Billing Profile & Reimbursement Data

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Marcus Cornwall — 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