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

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

Ben High (NPI 1689784555)

Field	Value
Entity Type	Individual
Organization	Ben High
Address	854 W James Campbell Blvd
City	Columbia
State	TN
ZIP	38401
Taxonomy	Family Medicine Physician
NPI Enumerated	August 30, 2006

Payer Source	Total Paid
Medicare	$16.6K
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
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…	230	$30	$7.9K
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…	80	$70	$5.7K
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…	30	$60	$1.7K
82274	The lab analyst uses an immunoassay method to perform a test for hidden blood in a fecal specimen that the patient collects from three consecutive bowel movements or that the clinician acquires…	60	$20	$880
81003	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…	100	$1	$190
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	20	$10	$180
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	20	$10	$170

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. Tennessee Distribution

Ben High — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	9,508	11,370	120	$80	$16.6K
99215	685	2,710	40	$110	$8.3K
99213	2,093	11,030	80	$50	$8K
36415	2,833	3,310	120	$10	$3.2K
82274	9	60	20	$20	$530
90471	72	150	20	$10	$230
81003	473	2,570	40	$1	$210

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maury Regional Hospital	TN	General Acute Care Hospital	$0	$24.6M
Cedar Recovery Center Of Middle Tennessee, LLC	TN	Addiction Medicine (Preventive Medicine) Physician	$0	$21.4M
Columbia Pediatric Clinic, Inc.	TN	Primary Care Clinic/Center	$0	$20.5M
The King's Daughters' School	TN	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$6.7M
Maury Regional Medical Group, Inc	TN	Family Medicine Physician	$0	$6.5M
Right Care Inc	TN	Primary Care Clinic/Center	$0	$4.4M
Caris Healthcare	TN	Community Based Hospice Care Agency	$0	$3.8M
Medical Necessities & Services LLC	TN	Oxygen Equipment & Supplies (DME)	$0	$3.3M
Pca Of Columbia, Inc.	TN	Cytopathology Physician	$1.8M	$1.4M
South Central Tn Development District	TN	Non-emergency Medical Transport (VAN)	$0	$3.1M

Ben High — Billing Profile & Reimbursement Data

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Ben High — 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