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

Why is the Medicaid comparison limited to New York 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 York (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.

Ethan Talbot (NPI 1740642552)

Field	Value
Entity Type	Individual
Organization	Ethan Talbot
Address	1 Atwell Rd
City	Cooperstown
State	NY
ZIP	13326
Taxonomy	Surgery Physician
NPI Enumerated	March 22, 2016

Payer Source	Total Paid
Medicare	$35.9K
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
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	70	$130	$8.8K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	110	$60	$6.6K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	50	$100	$5.3K
49507	In this procedure, the provider surgically repairs an inguinal hernia that is incarcerated, meaning trapped, or strangulated, meaning the blood supply is cut off. Use this code for initial hernia…	10	$430	$5.2K
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…	40	$70	$3.1K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	70	$40	$2.7K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	30	$90	$2.3K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	20	$60	$1.5K
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…	10	$50	$640

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. New York Distribution

Ethan Talbot — 0 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	21,773	30,450	90	$100	$19K
99233	7,339	8,640	80	$100	$15.8K
99232	4,818	11,850	80	$70	$13.8K
99213	30,447	31,440	80	$70	$12.1K
49507	8	10	10	$570	$11.3K
99223	2,305	8,650	40	$150	$9.3K
99222	2,105	7,870	30	$110	$5.9K
99231	991	3,700	40	$40	$3.3K
99238	1,237	2,430	30	$70	$3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mary Imogene Bassett Hospital	NY	Rural Acute Care Hospital	$0	$121.7M
Thomas Schumacher	NY	Nephrology Physician	$274.3K	$44.8K
Max Lincoln	NY	Orthopaedic Surgery Physician	$252.1K	$0
Erin Mckay	NY	Internal Medicine Physician	$235.3K	$15K
Lucille Lee	NY	Radiation Oncology Physician	$127.4K	$0
James Storey	NY	Clinical Cardiac Electrophysiology Physician	$114.6K	$5.3K
Raquel Rosen	NY	Nephrology Physician	$114.6K	$610
Salil Sharma	NY	Diagnostic Radiology Physician	$92.3K	$2.2K
Nidhi Madan	NY	Interventional Cardiology Physician	$87.1K	$0
Gregory Cummings	NY	Neurology Physician	$49.8K	$31.3K

Ethan Talbot — Billing Profile & Reimbursement Data

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Ethan Talbot — 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