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

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

John Harper (NPI 1720098205)

Field	Value
Entity Type	Individual
Organization	John Harper
Address	1834 Main St
City	Ramona
State	CA
ZIP	92065
Taxonomy	General Practice Physician
NPI Enumerated	August 8, 2006

Payer Source	Total Paid
Medicare	$227K
Medicaid	$0

Medicare: Complete Services Breakdown

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

46 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…	890	$100	$91.8K
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…	870	$50	$45.1K
82306	The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…	240	$30	$7K
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…	90	$70	$6.8K
84443	The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…	350	$20	$5.6K
90677	This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…	20	$270	$4.8K
80061	The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.	360	$10	$4.7K
84165	The lab analyst performs the technical lab test to separate and quantitate components of serum protein in a process called serum protein electrophoresis, SPE, or SPEP. The electrophoretic…	390	$10	$4.3K
86141	The lab analyst performs the technical lab test to analyze the specimen, such as serum, for high sensitivity C reactive protein, hsCRP.	320	$10	$4.1K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	440	$10	$3.5K

Showing 1–10 of 46

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 46 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. California Distribution

John Harper — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

46 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
82306	154	490	100	$30	$44.2K
84443	156	620	120	$20	$39.4K
80061	163	700	110	$10	$35.3K
99490	172	1,060	210	$50	$25.8K
99214	2,000	37,970	120	$90	$23.2K
84153	168	330	90	$20	$22.5K
82607	249	440	100	$10	$19.1K
85025	415	1,210	150	$10	$17.2K
82746	167	300	110	$10	$16.4K
84481	122	200	160	$20	$16.3K

Showing 1–10 of 46

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Amar Amin	CA	Diagnostic Radiology Physician	$3.6M	$6.5K
Iain Macewan	CA	Radiation Oncology Physician	$2.2M	$0
Rafal Sosnowski	IL	Diagnostic Radiology Physician	$1.7M	$75.2K
Keith Miller	FL	Radiation Oncology Physician	$1.7M	$0
Januario Castro	AZ	Hematology & Oncology Physician	$1.6M	$0
Steven Davis	CA	Radiation Oncology Physician	$1.4M	$0
Nathan Uebelhoer	CA	MOHS-Micrographic Surgery Physician	$1.3M	$0
Philip Bosch	CA	Urology Physician	$1.3M	$230
Shang I Jiang	CA	Dermatology Physician	$1.1M	$0
Alvin Wyatt	CA	Diagnostic Radiology Physician	$1.1M	$0

John Harper — Billing Profile & Reimbursement Data

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John Harper — 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