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

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

James Southwell (NPI 1740306273)

Field	Value
Entity Type	Individual
Organization	James Southwell
Address	1004 Carondelet Dr
City	Kansas City
State	MO
ZIP	64114
Taxonomy	Neurology Physician
NPI Enumerated	March 22, 2007

Payer Source	Total Paid
Medicare	$41.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
95886	The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…	270	$30	$8.9K
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…	120	$60	$7.4K
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…	80	$90	$6.5K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	60	$100	$5.7K
95910	In this procedure, the provider performs seven or eight nerve conduction studies, a diagnostic test to evaluate the function, especially the electrical conduction ability of the motor and sensory…	50	$70	$3.6K
95911	In this procedure, the provider performs nine or ten nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of…	40	$100	$3.4K
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…	60	$50	$2.8K
95909	In this procedure, the provider performs five or six nerve conduction studies, a diagnostic test to evaluate the function, especially the ability of electrical conduction of the motor and sensory…	50	$60	$2.5K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	10	$100	$1.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Missouri Distribution

James Southwell — 0 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	4,121	8,960	100	$80	$13.9K
99213	4,633	8,730	70	$50	$7K
99215	691	2,300	30	$110	$6.8K
95886	9	120	70	$60	$6.1K
95911	23	60	30	$130	$5.1K
99204	716	4,360	30	$100	$4.8K
99205	942	1,010	20	$140	$4.7K
95910	10	70	20	$100	$2.9K
95909	14	70	20	$80	$2.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cornerstones Of Care	MO	Mental Illness Community Based Residential Treatment Facility	$0	$7M
Sherwood Center For The Exceptional Child	MO	Developmentally Disabled Services Day Training Agency	$0	$6.3M
Spiral Health Systems Inc.	MO	In Home Supportive Care Agency	$0	$4.9M
Prime Healthcare Services - Kansas City, LLC	MO	General Acute Care Hospital	$0	$4.4M
Mark Box	MO	Rheumatology Physician	$1.3M	$0
John Rupp	MO	Dermatology Physician	$747.1K	$0
John Armilio	MO	Family Medicine Physician	$632.3K	$0
Ramilo Gatapia	MO	Internal Medicine Physician	$213.8K	$401.5K
Thad Stephens	MO	Undersea and Hyperbaric Medicine (Emergency Medicine) Physician	$309K	$0
Patrick Perkins	MO	Pulmonary Disease Physician	$281.1K	$0

James Southwell — Billing Profile & Reimbursement Data

Sign up for James Southwell — Billing Profile & Reimbursement Data policy alerts

James Southwell — Billing Profile & Reimbursement Data

Sign up for James Southwell — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References