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

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

Ian Mc Phail (NPI 1750355707)

Ian Mc Phail is a cardiovascular disease physician provider located in Rochester, Minnesota. This profile covers 17 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Provider details (source: NPPES NPI Registry)

Medicare: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Ian Mc Phail
Address	200 1st St Sw
City	Rochester
State	MN
ZIP	55905
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	February 15, 2006

Payer Source	Total Paid
Medicare	$30.2K
Medicaid	$0

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
36558	The provider places a catheter, without a subcutaneous port or pump in one of the major veins carrying the blood to the heart or directly into the right atrium, to administer medication, nutrients,…	30	$200	$5.7K
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…	40	$130	$4.9K
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…	50	$70	$3.3K
36561	A central venous access catheter is a device that the physician inserts beneath the skin to draw blood or administer medication/nutrients to the patient. The catheter's tip must terminate in the…	10	$250	$3.3K
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
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…	10	$90	$1.2K
50688	In this procedure, the provider removes a ureterostomy tube already in place or she removes an externally accessible ureteral stent via an ileal conduit and exchanges the tube or stent for a new one.	30	$50	$1.2K
75984	In this procedure, the provider performs imaging supervision and interpretation for the replacement of a previously placed percutaneous tube or catheter that is damaged.	40	$30	$1.1K
50435	The provider uses ultrasound and/or fluoroscopy, imaging technologies that display live images on a video monitor, to exchange a nephrostomy catheter through a percutaneous (through the skin) route…	20	$70	$1.1K
36556	The provider inserts a central venous access catheter in the neck, chest, or groin to draw blood or administer medication or nutrients to a patient 5 years of age or older.	20	$60	$960

Showing 1–10 of 17

Ian Mc Phail — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	8,708	10,100	70	$80	$8.1K
36561	55	70	20	$310	$6.2K
36558	15	50	20	$210	$5.1K
99213	4,421	9,120	50	$50	$4K
99204	906	3,340	20	$110	$3.6K
99203	2,051	2,690	20	$70	$2.3K
50435	15	20	20	$80	$1.6K
50688	5	10	30	$50	$1.2K
99212	1,121	1,670	20	$30	$1.2K
36556	33	70	20	$60	$1.1K