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

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

James Reed (NPI 1790719441)

Field	Value
Entity Type	Individual
Organization	James Reed
Address	4151 La Linda Way
City	Sierra Vista
State	AZ
ZIP	85635
Taxonomy	Psychiatry Physician
NPI Enumerated	July 10, 2006

Payer Source	Total Paid
Medicare	$98.6K
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
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	580	$80	$43.7K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	360	$50	$18.1K
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…	220	$70	$14.4K
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,…	310	$40	$11.7K
99443	N/A	60	$90	$5.2K
90836	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient in addition to an evaluation and management service in the…	50	$60	$3K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	10	$120	$1.7K
99442	N/A	10	$70	$830

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. Arizona Distribution

James Reed — 2 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arizona

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90836	26	40	60	$60	$11.2K
90834	3	90	90	$70	$11K
99213	2,004	9,600	80	$60	$9.6K
90833	18	210	80	$40	$6.4K
90792	135	170	30	$120	$4.4K
99443	74	380	30	$80	$3.5K
99212	64	2,310	30	$40	$2.4K
99442	456	510	20	$50	$2.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rchp-sierra Vista Inc	AZ	General Acute Care Hospital	$0	$29.8M
Sound Physicians Emergency Medicine Of Arizona, Inc.	AZ	Emergency Medicine Physician	$0	$20.8M
Chiricahua Community Health Centers, Inc	AZ	Federally Qualified Health Center (FQHC)	$0	$19M
Cogent Healthcare Of Arizona PC	AZ	Internal Medicine Physician	$0	$15.3M
Chiricahua Community Health Centers, Inc	AZ	Federally Qualified Health Center (FQHC)	$0	$15.1M
Easter Seals Blake Foundation	AZ	Community/Behavioral Health Agency	$0	$9.6M
American Medical Response Of Cochise County LLC	AZ	Land Ambulance	$634.6K	$6.1M
Community Medical Services Arizona-private, LLC	AZ	Methadone Clinic	$58.8K	$5.8M
Hemant Sindhu	AZ	Hematology & Oncology Physician	$5.4M	$67.3K
City Of Sierra Vista	AZ	Land Ambulance	$731.6K	$4.2M

James Reed — Billing Profile & Reimbursement Data

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James Reed — 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