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

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

Cole Spresser (NPI 1801027743)

Field	Value
Entity Type	Individual
Organization	Cole Spresser
Address	5325 Faraon St
City	Saint Joseph
State	MO
ZIP	64506
Taxonomy	Internal Medicine Physician
NPI Enumerated	July 27, 2009

Payer Source	Total Paid
Medicare	$77.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	390	$140	$53.6K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	170	$70	$12.4K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	100	$90	$9.3K
99305	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	20	$100	$2.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Missouri Distribution

Cole Spresser — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	285	520	210	$70	$28.3K
99349	70	200	60	$80	$12K
99306	3	200	50	$130	$11.6K
99305	156	210	40	$90	$6.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Heartland Regional Medical Center	MO	General Acute Care Hospital	$0	$57.1M
Heartland Regional Medical Center	MO	General Practice Physician	$0	$20.4M
Corey Krenz	MO	Family Nurse Practitioner	$491.4K	$0
Jack Kotlarz	IL	Plastic Surgery within the Head & Neck (Otolaryngology) Physician	$455.2K	$0
Lewis Meyerson	MO	Family Medicine Physician	$340.9K	$18K
Catherine Vanvoorn	MO	Internal Medicine Physician	$350.9K	$0
Lorrie Holland	KS	Nurse Practitioner	$318.3K	$0
Andrew Walker	MO	Radiation Oncology Physician	$317.6K	$0
Scott Avery	KS	Family Medicine Physician	$307K	$0
Kala Danushkodi	MO	Physical Medicine & Rehabilitation Physician	$306.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Res-care Kansas, Inc.	MO	Home Health Agency	$0	$64.8M
Choices Of St Joseph, Inc	MO	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$64.3M
Family Guidance Center For Behavioral Healthcare	MO	Community/Behavioral Health Agency	$0	$63.4M
Heartland Residential Care, Inc.	MO	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$49.1M
Peace Of Mind Home Care, LLC	MO	Home Health Agency	$0	$39.8M
Progressive Community Services	MO	Case Management Agency	$0	$14M
United Cerebral Palsy Of Northwest Missouri	MO	Voluntary or Charitable Agency	$0	$12.2M
Regional Emergency Medical Services Authority	MO	Land Ambulance	$1.3M	$7.4M
St Joseph Center For Outpatient Surgery, LLC	MO	Ambulatory Surgical Clinic/Center	$2M	$92.9K
Murphy Watson Burr Surgery Center Inc	MO	Ophthalmologic Surgery Clinic/Center	$1.3M	$89.6K

Cole Spresser — Billing Profile & Reimbursement Data

Sign up for Cole Spresser — Billing Profile & Reimbursement Data policy alerts

Cole Spresser — Billing Profile & Reimbursement Data

Sign up for Cole Spresser — 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