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

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

Terrance Pyles (NPI 1790749109)

Field	Value
Entity Type	Individual
Organization	Terrance Pyles
Address	501 Sunset Ln
City	Culpeper
State	VA
ZIP	22701
Taxonomy	Internal Medicine Physician
NPI Enumerated	April 13, 2006

Payer Source	Total Paid
Medicare	$44.4K
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
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…	420	$100	$42K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	20	$140	$2.3K

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. Virginia Distribution

Terrance Pyles — 1 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99223	2,944	3,660	40	$130	$9.2K
99222	6	3,120	30	$100	$4.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Hooman Saberinia	VA	Internal Medicine Physician	$9.6M	$0
Manan Mehta	VA	Hematology & Oncology Physician	$1.5M	$0
Paul Butros	VA	Diagnostic Radiology Physician	$844.4K	$0
Robert Morrison	TX	Diagnostic Radiology Physician	$467.6K	$0
Philip Brandt	VA	Hematology & Oncology Physician	$460.5K	$0
Rahul Sawlani	WI	Diagnostic Radiology Physician	$329.3K	$29.7K
Ejaz Khan	MD	Internal Medicine Physician	$279.9K	$19.4K
Shashank Parekh	VA	Diagnostic Radiology Physician	$284.7K	$730
Daniel Lebowitz	FL	Vascular & Interventional Radiology Physician	$274.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Uva Culpeper Medical Center	VA	General Acute Care Hospital	$0	$53.9M
Chrysalis Counseling Centers	VA	Clinical Social Worker	$0	$13M
Uva Outpatient Imaging Culpeper, LLC	VA	Radiology Clinic/Center	$486.3K	$432.1K
Culpeper Surgery Center LLC	VA	Ambulatory Surgical Clinic/Center	$771.4K	$33.3K
Zia Roshandel	VA	Cardiovascular Disease Physician	$505.2K	$0
Uva Culpeper Medical Center	VA	Land Ambulance	$317K	$41.6K
Andrew Kaiser	VA	Diagnostic Radiology Physician	$334.7K	$23.7K
Anthony Crimaldi	VA	Radiation Oncology Physician	$350.6K	$0
Linz Audain	VA	Internal Medicine Physician	$200.2K	$0
Erin Frank	VA	Psychiatric/Mental Health Nurse Practitioner	$172.9K	$0

Terrance Pyles — Billing Profile & Reimbursement Data

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Terrance Pyles — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References