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

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

Kenneth Newman (NPI 1730114109)

Field	Value
Entity Type	Individual
Organization	Kenneth Newman
Address	9100 W 74th St
City	Shawnee Mission
State	KS
ZIP	66204
Taxonomy	Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
NPI Enumerated	July 12, 2006

Payer Source	Total Paid
Medicare	$48.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	640	$50	$30.6K
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,…	180	$30	$4.7K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	80	$40	$3.2K
15271	The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the patient’s trunk, arms, and/or legs up to an area of 100 cm2. This code covers up to the first 25 cm2.	50	$60	$3.1K
99203	The provider sees a new 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 provider…	50	$60	$2.9K
15275	The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, up to…	40	$60	$2.6K
97598	After debriding the initial 20 cm2 at the same encounter, the provider excises devitalized (dead) tissue from an open wound. He may use a variety of techniques that include sharp debridement with…	80	$20	$1.5K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Kansas Distribution

Kenneth Newman — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kansas

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
11042	55	100	90	$50	$10K
99213	172	4,330	90	$50	$8.7K
15271	15	20	60	$90	$8.5K
15275	20	30	60	$90	$8K
99203	532	1,450	30	$60	$3.6K
97597	10	60	50	$30	$3.3K
97598	4	10	110	$20	$2.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Emergency Medicine Care LLC	KS	Emergency Medicine Physician	$0	$730.6K
Brian Wiley	RI	Emergency Medicine Physician	$127.9K	$0
Stuart Gaynes	KS	Emergency Medicine Physician	$80.4K	$0
Kevin Gould	KS	Phlebology Physician	$6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Anthem Overland Park Management, LLC	KS	Adult Care Home Facility	$0	$10.7M
Heartland Inc	KS	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$7.5M
Alliance Radiology, PA	KS	Diagnostic Radiology Physician	$0	$2.3M
The Behavior Project LLC	KS	Behavior Analyst	$0	$2M
Health Partnership Clinic, Inc	KS	Federally Qualified Health Center (FQHC)	$0	$1.8M
Kansas City Surgery Center, LLC	KS	Ambulatory Surgical Clinic/Center	$1.2M	$0
Shawnee Mission Medical Center Inc	KS	General Acute Care Hospital	$0	$1.2M
Deborah A King Ma & Associates Inc	KS	Speech-Language Pathologist	$0	$961.3K
Em Specialists PA	KS	Emergency Medicine Physician	$0	$876.5K
Shawnee Mission Surgery Center LLC	KS	Ambulatory Surgical Clinic/Center	$800.2K	$0

Kenneth Newman — Billing Profile & Reimbursement Data

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Kenneth Newman — 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

Nearby Providers

Frequently Asked Questions

References