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.

Yehuda Fox (NPI 1720607179)

Field	Value
Entity Type	Individual
Organization	Yehuda Fox
Address	3500 Orchard Pl
City	Bellingham
State	WA
ZIP	98225
Taxonomy	Family Medicine Physician
NPI Enumerated	April 15, 2020

Payer Source	Total Paid
Medicare	$6.6K
Medicaid	$0

Key Findings

This provider has a very small Medicare footprint in absolute dollars: total Medicare revenue is $6.6K and there is no Medicaid billing on file, making the practice effectively single-payer (Medicare-only) from the available claims records. The lack of any Medicaid billing means payer-mix analysis should treat Medicaid as absent rather than underrepresented.

Revenue is highly concentrated in a narrow set of primary-care services: the top three Medicare codes together account for 96.5% of the provider's Medicare revenue, indicating that a few office-based evaluation-and-management and preventive-visit codes drive almost all recorded Medicare receipts. Those top three codes are 99214 ($3.2K, 48.8% of Medicare revenue), G0439 ($2.1K, 32.3%), and 99213 ($1K, 15.4%).

The code mix — dominated by 99214 and 99213 (established-patient E/M visits) plus G0439 (annual wellness visit) and a small number of G0008 influenza vaccine claims — points to a conventional family-medicine outpatient practice focused on established-patient management and preventive annual-wellness services rather than procedure-heavy or specialty care. Average payments per claim are modest for these visit codes (99214 avg $79/claim, G0439 avg $113/claim, 99213 avg $54/claim), consistent with routine primary-care office visits in fee-for-service Medicare.

Claim volumes are low: 99214 has 41 claims, G0439 has 19 claims, and 99213 has 19 claims across the provider's lifetime Medicare activity. Those counts, combined with the $6.6K total, indicate limited Medicare engagement overall rather than a high-volume practice.

On competitive standing, this provider ranks well below national medians for the top E/M codes: 99214 ranks in the 24th percentile nationally (described in the dataset as "typical, unremarkable volume for this code"), G0439 in the 13th percentile ("typical, unremarkable volume"), and 99213 in the 10th percentile ("typical, unremarkable volume"). These percentiles characterize the provider as a modest participant nationally for these services rather than a dominant or high-volume competitor.

Preventive-service billing is present but limited: G0439 (annual wellness visit) accounts for $2.1K and 32.3% of Medicare revenue, showing that annual-wellness visits form a substantial share of the small Medicare revenue base, while vaccine administration (G0008) represents only $231 and 3.5% of Medicare revenue (11 claims), indicating minimal immunization billing activity on Medicare.

From a tenure perspective, the NPI was enumerated on 2020-04-15 (~6 years ago), so the observed low lifetime Medicare revenue and claim counts reflect roughly six years of potential billing activity rather than a very recent entry; this suggests sustained but small-scale Medicare engagement over that period.

Statistically, none of the provider's high-revenue codes are flagged as extreme outliers in the supplied descriptors — each top code is labeled "typical, unremarkable volume for this code" (G0008 also called "typical, unremarkable volume" despite appearing at the 0th percentile in the ranking), which supports an interpretation of routine primary-care billing patterns rather than anomalous utilization on these code lines.

Medicare: Complete Services Breakdown

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

4 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…	40	$80	$3.2K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	20	$110	$2.1K
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…	20	$50	$1K
G0008	Administration of influenza virus vaccine	10	$20	$230

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Yehuda Fox — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	8	10,860	100	$80	$13.6K
G0439	2	2,390	50	$130	$9.7K
99213	11	9,690	60	$60	$6.5K
G0008	2	2,280	30	$30	$2.6K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jasmit Minhas	WA	Internal Medicine Physician	$965.4K	$0
Stephanie Carr	WA	Internal Medicine Physician	$103K	$0
Maryallyn Alden	WA	Physician Assistant	$73.2K	$0
Jeffrey Radakovich	WA	Family Medicine Physician	$57K	$0
Hale Loofbourrow	WA	Family Medicine Physician	$55.4K	$0
Karen O'keefe	WA	Family Medicine Physician	$50.5K	$0
Margaret Sweeney	WA	Family Medicine Physician	$41.1K	$0
Seth Cowan	WA	Family Nurse Practitioner	$34.7K	$0
Marissa Capasso	WA	Family Medicine Physician	$24.2K	$0
Amber Morrison	WA	Medical Physician Assistant	$23.4K	$0

Yehuda Fox — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References