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

Why is the Medicaid comparison limited to Oklahoma 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. Oklahoma (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 Thompson (NPI 1790708410)

John Thompson is a radiation oncology physician provider located in Oklahoma City, Oklahoma. This profile covers 15 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Provider details (source: NPPES NPI Registry)

Medicare: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	John Thompson
Address	825 Ne 13th St
City	Oklahoma City
State	OK
ZIP	73104
Taxonomy	Radiation Oncology Physician
NPI Enumerated	July 25, 2006

Payer Source	Total Paid
Medicare	$51.7K
Medicaid	$0

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
77427	Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…	70	$150	$10.6K
77014	N/A	200	$30	$6.9K
57156	In this procedure, the provider fits and places into the vaginal canal a device that will hold radioactive material. She performs this service prior to treatment with radiation.	50	$100	$5.5K
77263	The provider decides the location and the number of ports (the points for the radiation beams to enter the body), the design and location of the shielding blocks, and the modes of therapy (e.g., arc…	30	$130	$4.2K
77770	In this procedure, the provider places a catheter within the cancerous tissue (interstitial) or within the body cavity (intracavitary), loaded with a high energy radioactive substance to treat the…	50	$80	$3.9K
77338	In this procedure, the provider participates in the design and construction of one or more multi–leaf collimator, MLC, devices for intensity modulated radiation therapy, IMRT. IMRT is a radiotherapy…	20	$170	$3.5K
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…	20	$130	$3.1K
77290	Before starting radiation therapy, a physician needs to know the location and size of the cancerous tumor, the radiation doses required to treat the tumor, and the positioning of the radiation beams…	50	$60	$2.9K
77316	In this procedure, the provider does simple level isodose planning for brachytherapy in which he uses up to four radiation sources or one channel for afterloading. Isodose means a radiation dose of…	50	$60	$2.6K
77332	The provider participates in the design, construction, and selection of simple treatment devices such as a simple block or simple bolus. Providers use these devices for proper dose delivery to the…	100	$20	$1.7K

Showing 1–10 of 15

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
77427	31	40	210	$140	$33.5K
77014	30	40	500	$50	$29.2K
77280	31	40	50	$160	$28.4K
77334	34	40	190	$50	$12.1K
77338	26	30	50	$210	$11.4K
77263	30	30	70	$130	$10.5K
77290	22	30	60	$140	$10K
77300	34	40	200	$30	$7.7K
99205	369	620	30	$140	$5.8K
57156	1	10	40	$110	$3.8K

John Thompson — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References