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

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

William Tooze (NPI 1770188302)

Field	Value
Entity Type	Individual
Organization	William Tooze
Address	3355 Riverbend Dr Ste 300
City	Springfield
State	OR
ZIP	97477
Taxonomy	Surgical Physician Assistant
NPI Enumerated	December 1, 2020

Payer Source	Total Paid
Medicare	$20.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	80	$70	$5.3K
69210	The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.	180	$30	$4.4K
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…	70	$50	$3.3K
31575	The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.	30	$70	$2.3K
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…	30	$60	$2K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	20	$70	$1.1K
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…	10	$80	$990
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	20	$40	$700

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Oregon Distribution

William Tooze — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oregon

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	3,123	6,070	80	$70	$10.3K
99215	1,873	2,170	40	$100	$6.7K
99213	2,419	5,480	60	$50	$5.7K
99204	2,367	2,750	30	$110	$4.4K
31575	52	110	30	$90	$3.9K
99203	759	1,790	30	$70	$3K
99212	748	1,170	30	$30	$1.8K
69210	7	130	40	$30	$1.7K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Peacehealth	WA	General Acute Care Hospital	$0	$81.6M
Peacehealth Medical Group	OR	Family Medicine Physician	$0	$45.3M
Asante Three Rivers Medical Center, LLC	OR	General Acute Care Hospital	$0	$27.7M
Peacehealth	OR	Critical Access Hospital	$0	$20.2M
Peacehealth	WA	Surgery Physician	$0	$13.5M
Peacehealth	OR	Hospitalist Physician	$0	$5.5M
Asante Three Rivers Medical Center LLC	OR	General Acute Care Hospital	$0	$5.2M
James Richardson	GA	Radiation Oncology Physician	$526.6K	$0
Jared Davis	IL	Neurocritical Care Physician	$93.8K	$385.4K
Eric Pena	OR	Clinical Cardiac Electrophysiology Physician	$232.2K	$0

William Tooze — Billing Profile & Reimbursement Data

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William Tooze — 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