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.

Charles Cooper (NPI 1699703835)

Field	Value
Entity Type	Individual
Organization	Charles Cooper
Address	101 Med Tech Pkwy
City	Johnson City
State	TN
ZIP	37604
Taxonomy	Psychologist
NPI Enumerated	June 28, 2006

Payer Source	Total Paid
Medicare	$18.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	50	$120	$5.5K
96130	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	50	$80	$3.9K
96158	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of a patient’s physical health…	80	$50	$3.4K
96139	A technician administers two or more psychological or neuropsychological tests and scores them requiring an additional 30 minutes beyond the initial 30 minutes.	110	$20	$2.5K
96159	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of a patient’s physical health…	150	$20	$2.2K
96138	A technician administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of administration and scoring by any method.	50	$20	$1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Tennessee Distribution

Charles Cooper — 0 of 6 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

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
96130	26	50	50	$80	$10.1K
90791	50	170	30	$110	$5.9K
96158	5	10	80	$40	$4.2K
96139	10	20	110	$20	$3.6K
96159	4	10	150	$10	$2.5K
96138	38	70	50	$20	$2.5K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
John Blake	TN	Pain Medicine (Anesthesiology) Physician	$495.5K	$0
Dennis Ford	TN	Pain Medicine (Anesthesiology) Physician	$219K	$0
Sandra Kaplan	TN	Pain Medicine Physician	$153.5K	$0
Mandi Beuerlein	TN	Family Nurse Practitioner	$147.2K	$0
Adam Olsson	TN	Pain Medicine Physician	$135.8K	$0
Michael Wilkinson	TN	Interventional Pain Medicine Physician	$109.4K	$0
Ankush Jain	MD	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$96.9K	$0
Leslie Bray	TN	Family Nurse Practitioner	$96.3K	$0
Todd Stanford	TN	Physician Assistant	$93.8K	$0
Cameron Shawver	TN	Family Medicine Physician	$92.5K	$0

Charles Cooper — Billing Profile & Reimbursement Data

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Charles Cooper — 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

Frequently Asked Questions

References