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

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

Douglas Benton (NPI 1730281619)

Field	Value
Entity Type	Individual
Organization	Douglas Benton
Address	6092 Fenton Rd
City	Flint
State	MI
ZIP	48507
Taxonomy	Family Medicine Physician
NPI Enumerated	September 2, 2006

Payer Source	Total Paid
Medicare	$32K
Medicaid	$0

Medicare: Complete Services Breakdown

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

19 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…	240	$40	$10.4K
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…	100	$50	$4.5K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	80	$50	$4K
90732	The provider intramuscularly or subcutaneously injects pneumococcal polysaccharide vaccine in an individual two years or older. This vaccine provides protection against meningitis and pneumonia that…	30	$130	$3.3K
90662	This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…	40	$70	$2.7K
G0008	Administration of influenza virus vaccine	40	$30	$1.2K
99496	The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…	10	$90	$1.2K
G0009	Administration of pneumococcal vaccine	30	$30	$930
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	110	$10	$870
99443	N/A	20	$40	$770

Showing 1–10 of 19

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Michigan Distribution

Douglas Benton — 0 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. state median

19 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	7,040	15,470	80	$80	$11.4K
99213	1,769	14,810	60	$60	$6.6K
G0439	1,072	4,100	50	$100	$6.6K
99496	410	560	20	$180	$4.2K
90662	916	1,920	40	$70	$3.9K
99443	299	460	20	$70	$2.7K
90732	10	60	10	$120	$2.2K
G0008	1,780	3,440	50	$30	$2.2K
36415	692	1,860	70	$10	$1.6K
83036	570	1,380	40	$10	$1K

Showing 1–10 of 19

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Health System Corporation	WI	Multi-Specialty Clinic/Center	$0	$13.2M
Henry Ford Medical Group Genesys	MI	Family Medicine Physician	$0	$13M
Karl Kado	MI	Diagnostic Radiology Physician	$356.4K	$0
Rajakumari Swamy	MI	Internal Medicine Physician	$296.4K	$0
Anish Chatterjee	IL	Diagnostic Radiology Physician	$161.8K	$108.7K
Roger Gonda	MI	Diagnostic Radiology Physician	$226.2K	$0
Rujman Zaman	IL	Neuroradiology Physician	$171.4K	$45.7K
Bill Hukill	MI	Internal Medicine Physician	$195K	$0
Ahmed El-sabbagh	MO	Geriatric Medicine (Internal Medicine) Physician	$192.6K	$0
Esther Lehmann	MI	Diagnostic Radiology Physician	$179.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Genesee Health System	MI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$159.9M
Flint Odyssey House Inc.	MI	Substance Abuse Rehabilitation Facility	$0	$42.4M
First Day Homecare, LLC	MI	Nursing Care Agency	$0	$14.3M
Patriot Ambulance Service, Inc.	MI	Land Ambulance	$1.8M	$12.3M
Jawad A Shah, Md PC	MI	Specialist	$0	$11.5M
Regional Medical Imaging, P.C.	MI	Diagnostic Radiology Physician	$0	$11.1M
Alternative Community Living Inc	MI	Adult Mental Health Clinic/Center	$0	$9.3M
Deluxe Dental Associates PLLC	MI	General Practice Dentistry	$0	$7.6M
Alternative Community Living Inc	MI	Adult Mental Health Clinic/Center	$0	$7M
Swartz Ambulance Service Inc	MI	Ambulance	$205.1K	$6.6M

Douglas Benton — 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