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

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

Ernest Bouras (NPI 1750370623)

Field	Value
Entity Type	Individual
Organization	Ernest Bouras
Address	4500 San Pablo Rd S
City	Jacksonville
State	FL
ZIP	32224
Taxonomy	Gastroenterology Physician
NPI Enumerated	October 13, 2005

Payer Source	Total Paid
Medicare	$107.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	110	$180	$19.9K
91299	Use 91299 to report diagnostic procedures in the gastrointestinal system that do not have a specific code.	60	$290	$17.3K
91035	The provider performs gastroesphageal reflux test to determine the backflow of acid from the stomach into the esophagus with telemetry pH electrode placement. He records and interprets the report.	40	$360	$14K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	80	$100	$8.2K
91122	N/A	40	$210	$7.4K
43249	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum and dilates (widens) the esophagus with a balloon less than 30 mm in diameter.	70	$110	$7.4K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	130	$60	$7.2K
45390	The provider performs flexible colonoscopy along with excision of mucous membrane tissue using an endoscope.	20	$280	$6K
91037	The provider performs gastroesphageal reflux test to determine the backflow of acid from the stomach into the esophagus with nasal catheter intraluminal impedance electrode placement. He records and…	30	$130	$3.9K
G0105	Colorectal cancer screening; colonoscopy on individual at high risk	20	$190	$3.4K

Showing 1–10 of 20

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

Ernest Bouras — 0 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

20 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
45385	297	1,140	60	$300	$31K
99214	30,451	32,760	140	$90	$25K
45380	384	1,160	50	$200	$18.7K
43239	371	1,260	80	$130	$16.8K
G0105	524	700	30	$280	$14.6K
99213	28,283	30,010	80	$60	$12K
91299	4	10	50	$240	$11.2K
43249	41	300	20	$300	$10.9K
45390	28	70	20	$440	$10.1K
99204	14,169	19,040	40	$110	$7K

Showing 1–10 of 20

Ernest Bouras — 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