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

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

Phillip Marlowe (NPI 1760044424)

Field	Value
Entity Type	Individual
Organization	Phillip Marlowe
Address	3422 S 15th E
City	Idaho Falls
State	ID
ZIP	83404
Taxonomy	Physician Assistant
NPI Enumerated	July 2, 2019

Payer Source	Total Paid
Medicare	$3.3K
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
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	$3.1K
95115	The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives a single injection during the visit.	30	$10	$130

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. Idaho Distribution

Phillip Marlowe — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	1,517	2,770	70	$50	$5.7K
95115	9	10	380	$10	$2.7K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Phillip Marlowe, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Idaho Allergy & Asthma Clinic PA	ID	Allergy & Immunology Physician	$0	$653.7K
Wallace C Baker	ID	Family Medicine Physician	$0	$639.1K
Wallace Baker	ID	Family Medicine Physician	$66.4K	$0
Wendell Petty	ID	Allergy & Immunology Physician	$43.3K	$0
Jessica Christensen	ID	Nurse Practitioner	$24K	$0
Joshua Hansen	ID	Medical Physician Assistant	$22.7K	$0
David Petty	ID	Allergy Physician	$19.3K	$0

Phillip Marlowe — Billing Profile & Reimbursement Data

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Phillip Marlowe — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References