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 District of Columbia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to District of Columbia 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. District of Columbia (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 Condrell (NPI 1770643280)

Field	Value
Entity Type	Individual
Organization	William Condrell
Address	4910 Massachusetts Ave Nw Ste 315
City	Washington
State	DC
ZIP	20016
Taxonomy	Internal Medicine Physician
NPI Enumerated	December 12, 2006

Payer Source	Total Paid
Medicare	$329.1K
Medicaid	$0

Key Findings

WILLIAM CONDRELL is effectively a single-payer Medicare clinician: lifetime Medicare revenue of $329.1K is on file while there is no Medicaid billing on file, indicating this profile reflects a Medicare-focused ambulatory practice rather than a mixed Medicaid/Medicare panel. The provider’s NPI was enumerated on 2006-12-12 (approximately 20 years ago), so this billing pattern represents an established clinician with long tenure in the Medicare market.

Revenue is highly concentrated in a small set of services: the precomputed top 3 Medicare codes account for 72.4% of total Medicare revenue. In practical terms, the practice’s financial picture is driven by a few office/outpatient evaluation-and-management and preventive-visit codes rather than a broad mix of procedures or facility-based services.

99214 is the largest single revenue driver, generating $132.1K (40.2% of Medicare revenue) across 1.4K claims and ranking in the 99th percentile nationally as an extreme outlier. This combination of high volume and high rank implies the provider’s practice model centers on moderate-complexity established-patient E/M visits and that the clinician bills this code at a volume far above most peers nationally.

G0439 (annual wellness visit, subsequent) is the second major contributor with $65.5K (19.9% of Medicare revenue) from 455 claims and likewise ranks in the 99th percentile nationally as an extreme outlier. The prominence and high relative ranking of both 99214 and G0439 indicate a practice emphasis on routine longitudinal chronic care management and Medicare-focused preventive visits.

99213 and 99215 are other notable E/M contributors, together with 99214 and G0439 forming the dominant clinical mix. 99213 produced $40.2K (12.2% of Medicare revenue) and ranks in the 95th percentile (notably above typical national volume), while 99215 contributed $33.6K (10.2% of Medicare revenue) at a 94th-percentile rank. This pattern—multiple high-volume established-patient E/M codes—signals a primary care/internal medicine outpatient practice handling a full range of established-patient complexity.

Preventive and immunization services are a meaningful secondary line: G0402 (initial preventive physical) and vaccine codes such as 90677 (pneumococcal vaccine, $13.2K, 4.0% of revenue) appear in the top codes, showing actual delivery of Medicare preventive benefits. G0402 ranks in the 99th percentile nationally and 90677 is at the 89th percentile, reinforcing that preventive care and adult immunizations are implemented at volumes above typical peers.

Several procedural and diagnostic codes (ECG 93000, routine vaccine administration G0008/G0009) appear at modest revenue shares and mostly typical percentile rankings, indicating the practice performs point-of-care screening and basic procedures but does not rely on procedure-based revenue. These codes collectively contribute small amounts relative to the dominant E/M and wellness visits, consistent with an office-based internal medicine model.

Competitive standing for key codes is mixed: for core Medicare codes like 99214 and G0439 the provider is a national outlier and effectively a high-volume specialist in those services, while for many ancillary CPTs the provider’s ranks fall in mid-to-lower percentiles, reflecting modest or typical participation. Viewed by service line, the provider is a major national volume outlier for established E/M and annual wellness visits but only a routine participant for most other billable services.

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
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…	1,380	$100	$132.1K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	460	$140	$65.5K
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…	550	$70	$40.2K
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…	250	$140	$33.6K
90677	This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…	50	$280	$13.2K
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…	80	$130	$10.2K
G0402	Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	40	$180	$7K
99205	The provider sees a new 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 provider…	40	$170	$6.8K
90694	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…	60	$70	$4.4K
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	20	$180	$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. District of Columbia Distribution

William Condrell — 4 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — District of Columbia

Full comparison — all codes billed, vs. state median

20 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	3	1,400	90	$100	$15.3K
99215	56	660	50	$130	$12.3K
G0439	1	250	60	$140	$12.2K
99213	45	1,200	50	$70	$8.5K
90677	10	120	20	$280	$6.7K
99204	127	670	30	$130	$6.4K
99205	94	330	30	$170	$5.6K
G0438	13	40	20	$190	$4.1K
90694	39	170	30	$70	$4K
99203	255	430	30	$80	$3.8K

Showing 1–10 of 20

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Privia Medical Group, LLC	VA	Internal Medicine Physician	$0	$81.2M
Robert Brennan	VA	Infectious Disease Physician	$15.9M	$0
Adebowale Prest	MD	Family Medicine Physician	$2.8M	$0
Bluestone Health Association, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$1.9M
Enrico Giangeruso	VA	Anatomic Pathology & Clinical Pathology Physician	$1.4M	$0
Glenda Mccarter	MD	Nurse Practitioner	$1.3M	$0
Marilyn Chengot	NY	Cardiovascular Disease Physician	$909.9K	$15.1K
Momodu Jack	DC	Gastroenterology Physician	$25K	$759K
Anish Desai	MD	Pulmonary Disease Physician	$302.4K	$374.2K
Christopher Vaccari	MD	Cardiovascular Disease Physician	$675.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lucy Webb Hayes National Training School For Deaconesses & Missionarie	DC	General Acute Care Hospital	$0	$19.1M
Jeffrey Steinberg	DC	Foot & Ankle Surgery Podiatrist	$13.3M	$0
Friendship Place	DC	Case Management Agency	$0	$5.6M
Wisconsin Ave Psychiatric Center Inc	DC	Psychiatric Hospital	$0	$3.1M
Iona Senior Services	DC	Adult Health Nurse Practitioner	$0	$1.1M
Mary Ella Carter	DC	Plastic Surgery Physician	$942.2K	$0
Jaydot LLC	DC	Case Management Agency	$0	$820.6K
Edward Tanner	DC	Gynecologic Oncology Physician	$786.3K	$2.1K
Brandi Page	DC	Radiation Oncology Physician	$761K	$0
Joshua Yamamoto	DC	Cardiovascular Disease Physician	$688.3K	$0

William Condrell — 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