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

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

Peter Newell (NPI 1760504815)

Field	Value
Entity Type	Individual
Organization	Peter Newell
Address	6412 Laurel Ave
City	Lake Isabella
State	CA
ZIP	93240
Taxonomy	Emergency Medicine Physician
NPI Enumerated	April 6, 2007

Payer Source	Total Paid
Medicare	$10.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	30	$130	$4.2K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	80	$40	$3.3K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	20	$80	$2K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	20	$20	$550
99281	The provider sees a patient for the lowest level emergency department visit.	10	$10	$90

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. California Distribution

Peter Newell — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	4,239	5,310	110	$140	$19.9K
99284	4,423	5,660	50	$90	$6.1K
99283	72	1,960	20	$50	$1.4K
99282	26	140	20	$30	$610
99281	5	10	20	$10	$160

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alteon Health New Mexico LLC	NM	Emergency Medicine Physician	$0	$12M
Curry Emergency Group LLC	NM	Emergency Medicine Physician	$0	$9.6M
Sanjiv Sharma	CA	Cardiovascular Disease Physician	$946.1K	$0
Patrick Connor	NM	Emergency Medicine Physician	$48.3K	$765.9K
Todd Farrer	CA	Family Medicine Physician	$631.4K	$0
Robin Matuk	CA	Gastroenterology Physician	$197.7K	$0
Thomas Wulf	NM	Family Medicine Physician	$196.4K	$0
Chukwuemeka Ezeume	AZ	Internal Medicine Physician	$117.6K	$0
Yvonne Ortega	AL	General Practice Physician	$109.5K	$0
Brian Cashin	WA	Emergency Medicine Physician	$107.6K	$0

Peter Newell — Billing Profile & Reimbursement Data

Sign up for Peter Newell — Billing Profile & Reimbursement Data policy alerts

Peter Newell — Billing Profile & Reimbursement Data

Sign up for Peter Newell — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References