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

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

Preferred Podiatry Group PC (NPI 1720037138)

Field	Value
Entity Type	Organization
Organization	Preferred Podiatry Group PC
Address	171 Sw 6th Ave
City	Oak Harbor
State	WA
ZIP	98277
Taxonomy	Podiatrist
NPI Enumerated	May 10, 2006

Payer Source	Total Paid
Medicaid	$4.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

47 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
11721	The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.	192,550	$10	$1.2M
11720	The provider surgically debrides (debulks or removes) 1 to 5 abnormal, diseased, or infected nails.	276,250	$1	$1.1M
11056	The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.	131,040	$10	$917.3K
G0127	Trimming of dystrophic nails, any number	372,140	$1	$744.3K
11055	The provider removes a single benign hyperkeratotic lesion by using surgical instruments like a scalpel or curette.	82,220	$10	$411.1K
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	48,300	$10	$241.5K
11057	The provider removes more than 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.	8,010	$10	$72.1K
99324	N/A	1,410	$10	$9.9K
99304	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves straightforward or low medical decision making or the provider…	170	$60	$9.7K
99347	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves straightforward medical decision making or the provider spends at…	650	$10	$6.5K

Showing 1–10 of 47

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Washington Distribution

Preferred Podiatry Group PC — 8 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. Washington median

47 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	1,622	1,860	610	$40	$295.5K
10060	The provider incises the area of abscess and drains the collection of pus from a lesion, such as a carbuncle, hidradenitis, cyst, furuncle, or paronychia, with the help of surgical instruments. A…	18	50	370	$190	$138.4K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	56	60	150	$30	$80.7K
99341	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves straightforward medical decision making or the provider spends at least 15…	3	10	300	$60	$77.5K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	78	110	380	$20	$72.9K
17110	The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…	37	50	110	$140	$64.6K
G0127	Trimming of dystrophic nails, any number	1	20	250	$1	$58K
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	10	30	$190	$31.4K
97597	The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,…	48	50	190	$30	$30.6K
11056	The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.	1	50	130	$10	$29K

Showing 1–10 of 47

Related Providers

Other providers that share a Tax Identification Number (TIN) with Preferred Podiatry Group PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lewis Wasserman	IL	Foot Surgery Podiatrist	$473.9K	$252.3K
Terry Zucker	IL	Podiatrist	$214.8K	$421.2K
Joseph Coscino	IL	Podiatrist	$318.4K	$152.7K
Timothy Lantvit	IL	Podiatrist	$265.3K	$159.1K
Joseph Borreggine	FL	Foot & Ankle Surgery Podiatrist	$342.4K	$49.4K
Stanley Porada	IL	Podiatrist	$255.2K	$110K
Richard Bowling	TX	Podiatrist	$329.1K	$140
Demetria Martin	WI	Podiatrist	$303.4K	$0
Jennifer Maungu	NY	Podiatrist	$298.2K	$0
Robert Bandyk	IL	Podiatrist	$167.7K	$125.6K

Nearby Providers

Other providers in the same ZIP code as Preferred Podiatry Group PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
L.e.a.p.s And Beyond, Inc	WA	Community/Behavioral Health Agency	$0	$6.5M
Pediatric Associates Of Whidbey Island, Ps	WA	Pediatrics Physician	$0	$5M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$3.1M
Whidbey Island Public Hospital District	WA	Rural Health Clinic/Center	$0	$3M
Whidbey Island Public Hospital District	WA	Rural Health Clinic/Center	$0	$2.7M
Reese Bliek	WA	Medical Physician Assistant	$508.7K	$0
Robert Johnson	WA	Ophthalmology Physician	$365.8K	$0
Walgreen Co	WA	Pharmacy	$175.8K	$400
Robert Lycksell	WA	Family Medicine Physician	$152.3K	$0
Soas, LLC	WA	Pharmacy	$70.1K	$1.2K

Preferred Podiatry Group PC — Billing Profile & Reimbursement Data

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Preferred Podiatry Group PC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References