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 Armed Forces Europe for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Armed Forces Europe 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. Armed Forces Europe (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.

Rush Twilley (NPI 1760528426)

Field	Value
Entity Type	Individual
Organization	Rush Twilley
Address	Cmr 427
City	Apo
State	AE (Armed Forces Europe)
ZIP	09630
Taxonomy	Emergency Medicine Physician
NPI Enumerated	January 29, 2007

Payer Source	Total Paid
Medicare	$18.6K
Medicaid	$0

Key Findings

RUSH TWILLEY is listed as an Emergency Medicine Physician and the Medicare billing profile is dominated by emergency-department and critical-care codes, which aligns with that taxonomy and suggests the provider primarily delivers high-acuity ED services rather than outpatient or procedural work. Total Medicare revenue on file is $18.6K and the top three Medicare codes are 99285, 99284, and 99291, which together account for 99.0% of the provider's Medicare revenue.

Revenue concentration is extremely high: 99285 accounts for $10.5K (56.7% of Medicare revenue, 77 claims, $137 avg paid/claim), 99284 accounts for $5.4K (29.1% of Medicare revenue, 63 claims, $86 avg paid/claim), and 99291 accounts for $2.5K (13.2% of Medicare revenue, 14 claims, $176 avg paid/claim). The precomputed top-3 share of 99.0% indicates virtually all Medicare dollars come from high-acuity ED evaluation/management and critical care services.

The specific code mix (high share of 99285 and 99284 with a material portion from 99291) points to a practice pattern focused on emergent evaluation and inpatient-level decision making in the ED; 99285’s description (high level MDM) and 99291 (critical care, first 30–74 minutes) indicate handling of seriously ill patients rather than routine urgent care encounters. This suggests operational characteristics of ED shift-based coverage or episodic critical-care management rather than longitudinal primary care.

Payer mix is effectively single-payer Medicare: the profile shows $18.6K in total Medicare revenue and no Medicaid billing on file (none below). That absence of Medicaid activity means analyses of payer mix, access to dual-eligible populations, or Medicaid-driven service lines cannot be supported from the available billing data.

Competitive standing on the reported codes is modest. For 99285 the provider ranks #36953 of 61347 providers nationally (39th percentile; typical, unremarkable volume for this code), for 99284 the provider ranks #30289 of 64306 providers nationally (52th percentile; typical, unremarkable volume for this code), and for 99291 the provider ranks #65411 of 71290 providers nationally (6th percentile; typical, unremarkable volume for this code), which collectively indicate the provider is not a high-volume national outlier on these ED/critical-care services.

Ancillary testing appears minimal in Medicare billing: 93010 (ECG interpretation) is present but small in scale at 30 claims generating $180 (1.0% of Medicare revenue) with a $6 avg paid/claim and a national rank of #40541 of 50616 (19th percentile; typical, unremarkable volume). This low ancillary-revenue footprint reinforces that clinical E/M and critical care codes drive the economics of this provider’s Medicare activity.

The provider’s NPI was enumerated on 2007-01-29 (~19 years ago), indicating long tenure in the provider registry. Despite that length of enumeration, lifetime Medicare revenue on file is relatively small ($18.6K), which could reflect low Medicare patient volume, limited Medicare-covered encounters, part-time practice, or recent changes in practice location or scope rather than an extensive Medicare-facing operation.

Medicare: Complete Services Breakdown

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

4 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.	80	$140	$10.5K
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.	60	$90	$5.4K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	10	$180	$2.5K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	30	$10	$180

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes. Note: this provider's state, "AE," is a US military postal designation for Armed Forces stationed in Europe, the Middle East, Africa, or Canada — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

View: State1 / 2

Claims Volume vs. Armed Forces Europe Distribution

Rush Twilley — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Armed Forces Europe

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	5	10	80	$130	$17.4K
99284	6	10	90	$90	$6.9K
99291	6	10	20	$170	$6.4K
93010	3	10	150	$10	$930

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Clark Fork Emergency Physicians PLLC	MT	Emergency Medicine Physician	$0	$6.1M
Janine Peterson-hale	MT	Emergency Medicine Physician	$28.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kathryn Jenkins	AE (Armed Forces Europe)	Physician Assistant	$32.6K	$0

Rush Twilley — Billing Profile & Reimbursement Data

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Rush Twilley — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References