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

Why is the Medicaid comparison limited to New Mexico 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. New Mexico (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 Accountius (NPI 1730625047)

Field	Value
Entity Type	Individual
Organization	Douglas Accountius
Address	Northern Navajo Medical Center
City	Shiprock
State	NM
ZIP	87420
Taxonomy	Acute Care Nurse Practitioner
NPI Enumerated	January 10, 2017

Payer Source	Total Paid
Medicare	$17.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	60	$50	$2.9K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	110	$30	$2.8K
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…	30	$60	$2K
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…	20	$90	$2K
99204	The provider sees a new 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 provider…	20	$90	$1.9K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	40	$50	$1.9K
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…	30	$50	$1.7K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	20	$80	$1.4K
87811	The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…	20	$40	$660
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	20	$20	$320

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Mexico Distribution

Douglas Accountius — 1 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. state median

10 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	2,322	2,700	90	$70	$12.9K
99213	1,672	2,440	60	$50	$7.3K
99284	403	460	50	$90	$6.1K
99204	788	1,210	30	$100	$4.5K
99203	374	870	30	$60	$3.3K
87635	17	50	30	$50	$2.1K
99283	34	220	20	$50	$1.8K
87811	16	20	20	$40	$1.2K
99282	1	40	20	$30	$870
87880	54	130	20	$20	$460

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bloom New Mexico LLC	NM	Multi-Specialty Clinic/Center	$0	$7.9M
Aztec Urgent Care, LLC	NM	Urgent Care Clinic/Center	$0	$4.2M
Mandy Morford	CO	Family Medicine Physician	$52.6K	$0
Patrick Ely	CO	Medical Physician Assistant	$44K	$0
Amanda Kiessel	CO	Physician Assistant	$42.2K	$0
Michael Guillette	CO	Physician Assistant	$39.5K	$0
Sara Shively	CO	Physician Assistant	$27.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dhhs, Phs, Naihs, Shiprock Hospital	NM	General Acute Care Hospital	$0	$190.6M
Trc - Four Corners Dialysis Clinics LLC	NM	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.3M
Dhhs, Phs, Naihs, Shiprock Hospital	NM	Ambulatory Surgical Clinic/Center	$38.3K	$126K
Akinloye Makanjuola	NM	Internal Medicine Physician	$128.3K	$0
John Mohs	NM	Family Medicine Physician	$61.4K	$0
Stephen Shanks	NM	Family Medicine Physician	$59.6K	$0
Margaret Miller	NM	Anesthesiology Physician	$56.5K	$0
Matthew Spiva	NM	Podiatrist	$45K	$0
Justin Ritter	NM	Acute Care Nurse Practitioner	$7K	$0
Tracy Kurek	NM	Physician Assistant	$6.4K	$0

Douglas Accountius — Billing Profile & Reimbursement Data

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Douglas Accountius — 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