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

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

Roman Nation (NPI 1710070438)

Field	Value
Entity Type	Individual
Organization	Roman Nation
Address	1514 W 23rd St
City	Panama City
State	FL
ZIP	32405
Taxonomy	Family Medicine Physician
NPI Enumerated	October 2, 2006

Payer Source	Total Paid
Medicare	$540.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

45 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…	2,260	$90	$203.8K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	2,170	$50	$101.8K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	390	$130	$48.9K
J0897	Injection, denosumab, 1 mg	1,620	$20	$29.2K
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…	280	$70	$19.5K
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…	310	$60	$18.5K
99439	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	480	$40	$17.3K
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…	110	$130	$14.3K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	120	$110	$13.7K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	190	$60	$10.3K

Showing 1–10 of 45

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 45 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

Roman Nation — 5 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

45 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0897	809	1,060	3,290	$20	$106.5K
90837	940	1,240	220	$100	$30.6K
99214	202	32,760	140	$90	$25K
99490	47	1,200	150	$50	$19.7K
G0439	361	7,210	60	$120	$13.4K
96401	574	590	110	$60	$12.7K
99213	5,303	30,010	80	$60	$12K
99215	1,818	8,550	40	$130	$10.7K
99439	69	540	110	$30	$8.7K
99204	8,776	19,040	40	$110	$7K

Showing 1–10 of 45

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bay Hospital, Inc	FL	General Acute Care Hospital	$0	$19.3M
Panama City Surgery Center,llc	FL	Ambulatory Surgical Clinic/Center	$1.8M	$14.8M
Panhandle Pediatric Dentistry, PLLC	FL	Pediatric Dentistry	$0	$14.7M
The Surgical Center For Excellence, Lllp	FL	Ambulatory Surgical Clinic/Center	$18.8K	$11.7M
Rainbow Pediatrics PC LLC	FL	Pediatrics Physician	$0	$8.3M
Emerald Coast Pediatrics & Adolescents	FL	Pediatrics Physician	$0	$8M
Life Management Center Of Nw Fl, Inc.	FL	Psychiatry Physician	$0	$7.9M
Hospice Of The Emerald Coast, Inc.	FL	Community Based Hospice Care Agency	$0	$7.5M
Amir Agha	FL	Rheumatology Physician	$3.6M	$0
Jon Ward	FL	MOHS-Micrographic Surgery Physician	$2.1M	$0

Roman Nation — Billing Profile & Reimbursement Data

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Roman Nation — 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