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

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

Aaron Hess (NPI 1740609502)

Field	Value
Entity Type	Individual
Organization	Aaron Hess
Address	3602 Blackhawk Dr
City	Madison
State	WI
ZIP	53705
Taxonomy	Anesthesiology Physician
NPI Enumerated	April 9, 2014

Payer Source	Total Paid
Medicare	$1.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
86077	The lab analyst performs a cross match of a specimen that requires interpretation and a written report from the blood bank physician due to a difficult cross match, evaluation of irregular…	20	$40	$810
36620	In this procedure, the provider inserts a catheter percutaneously (through the skin) into an artery and uses this catheter for the purpose of sampling, transfusion, or continuous real–time blood…	10	$30	$400

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wisconsin Distribution

Aaron Hess — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
86077	7	10	40	$40	$2.3K
36620	207	250	20	$30	$780

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Catalyst, Inc	WI	Home Health Agency	$0	$3.5M
Gordon Crabtree	WI	Ophthalmology Physician	$618.1K	$2.2K
Justin Gottlieb	WI	Ophthalmology Physician	$506K	$0
Andrew Hendrick	WI	Ophthalmology Physician	$503.9K	$0
Mihai Mititelu	WI	Ophthalmology Physician	$366.1K	$140
Alexandra Mcmurray	WI	Child & Adolescent Psychiatry Physician	$102.8K	$183.3K
Kenneth Herrmann	WI	Psychiatry Physician	$44K	$187.8K
John Floberg	WI	Radiation Oncology Physician	$222.7K	$0
Michael Altaweel	WI	Ophthalmology Physician	$200.4K	$0
Walgreen Co	WI	Pharmacy	$184.2K	$11.8K

Aaron Hess — Billing Profile & Reimbursement Data

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Aaron Hess — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References