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

Why is the Medicaid comparison limited to New Mexico 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. New Mexico (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.

Aaron Pritchard (NPI 1790006377)

Field	Value
Entity Type	Individual
Organization	Aaron Pritchard
Address	1220 Stutz Dr Ne
City	Albuquerque
State	NM
ZIP	87112
Taxonomy	Anatomic Pathology & Clinical Pathology Physician
NPI Enumerated	June 17, 2010

Payer Source	Total Paid
Medicare	$160
Medicaid	$0

Medicare: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
85390	A physician or nonphysician lab professional provides interpretation and report of lab tests to evaluate fibrinolysis and coagulation.	10	$10	$160

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Mexico Distribution

Aaron Pritchard — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. state median

1 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
85390	4	10	20	$30	$1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
El Mirador Incorporated	NM	Home Health Agency	$0	$100.9M
Arca	NM	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$91.7M
St. Anthony's Home Healthcare Service, LLC	NM	Home Health Agency	$0	$51.4M
Unica	NM	Community/Behavioral Health Agency	$0	$12.5M
Tasker Hatch Rowan LLC	NM	Dentist	$0	$9.8M
Quilted Care Ltd. Co.	NM	Assisted Living Facility	$0	$7.5M
Choice Recovery Path LLC	NM	Substance Use Disorder Rehabilitation Clinic/Center	$0	$3.4M
Bio-medical Applications Of New Mexico, Inc.	NM	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.1M
Foust Behavioral Services, LLC	NM	Social Worker	$0	$1.7M
Modern Pain & Spine PC	NM	Interventional Pain Medicine Physician	$0	$1.6M

Aaron Pritchard — Billing Profile & Reimbursement Data

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Aaron Pritchard — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References