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.

John Anderson (NPI 1790706430)

Field	Value
Entity Type	Individual
Organization	John Anderson
Address	10101 Se Main St
City	Portland
State	OR
ZIP	97216
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	July 21, 2006

Payer Source	Total Paid
Medicare	$17.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
27245	In this procedure, the provider performs an open treatment of a femoral fracture between, around, or below the trochanters. He fixes the fracture using an intramedullary implant, or an implant the…	10	$950	$13.3K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	40	$100	$4.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Oregon Distribution

John Anderson — 0 of 2 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

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27245	9	20	20	$780	$12.4K
99222	138	900	20	$90	$2.6K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lehigh Valley Hospital Pocono	PA	General Acute Care Hospital	$0	$11.9M
Thuy Vo	CA	Family Nurse Practitioner	$4.4M	$0
Anton Sharapov	MI	Surgery Physician	$635.8K	$0
Harlan Levine	NJ	Orthopaedic Surgery Physician	$520.2K	$0
William Hozack	PA	Orthopaedic Surgery Physician	$317.3K	$0
Gordon Fried	PA	Interventional Cardiology Physician	$305.5K	$130
Morris Gist	IL	Urology Physician	$277.6K	$12.3K
Ari Seidenstein	NJ	Orthopaedic Surgery Physician	$284.3K	$3K
Michael Smith	NY	Neurological Surgery Physician	$236.2K	$0
Samir Sodha	NJ	Orthopaedic Surgery Physician	$229.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Byram Healthcare Centers, Inc.	OR	Durable Medical Equipment & Medical Supplies	$0	$123.8M
Fora Health Inc.	OR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$54.4M
Portland Adventist Medical Center	OR	General Acute Care Hospital	$0	$41.8M
Portland Adventist Medical Center	OR	Family Medicine Physician	$0	$12.8M
Portland Adventist Medical Center	OR	Family Medicine Physician	$0	$5.8M
Portland Adventist Medical Center	OR	Emergency Medical Services (Emergency Medicine) Physician	$0	$5M
Cep America LLC	OR	Emergency Medicine Physician	$0	$2.9M
Diagnostic Radiologists PC	OR	Diagnostic Radiology Physician	$0	$2.7M
Jonathan Yoken	OR	Retina Specialist (Ophthalmology) Physician	$1.5M	$0
Rsa - Portland, LLC	OR	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.3M

John Anderson — Billing Profile & Reimbursement Data

Sign up for John Anderson — Billing Profile & Reimbursement Data policy alerts

John Anderson — Billing Profile & Reimbursement Data

Sign up for John Anderson — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References