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

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

Matthew Holmes (NPI 1801187315)

Field	Value
Entity Type	Individual
Organization	Matthew Holmes
Address	330 N 8th Ave E
City	Duluth
State	MN
ZIP	55805
Taxonomy	Family Medicine Physician
NPI Enumerated	May 2, 2011

Payer Source	Total Paid
Medicare	$12.9K
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
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	40	$60	$2.4K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	50	$50	$2.3K
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…	20	$90	$2.3K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	80	$30	$2.2K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	20	$60	$1.2K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	10	$90	$1.1K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	10	$60	$750
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	20	$30	$700

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. Minnesota Distribution

Matthew Holmes — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99284	1,164	1,200	50	$80	$5.2K
99232	2,284	3,640	60	$60	$5.2K
99222	920	2,220	20	$90	$2.7K
99231	761	1,080	30	$40	$1.6K
99238	224	510	20	$60	$1.5K
99283	63	620	20	$50	$1.3K
99221	239	330	20	$60	$1.3K
99282	3	40	20	$30	$650

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Quest Diagnostics Of Pennsylvania, Inc.	PA	Clinical Medical Laboratory	$11.3M	$132.4M
Kara Foster-weiss	VA	Family Medicine Physician	$2.2M	$0
Samuel Uzabel	FL	Hospice and Palliative Medicine (Emergency Medicine) Physician	$582K	$0
Jody Gerard	CT	Family Medicine Physician	$378.2K	$0
Mansoor Zaidi	MA	Internal Medicine Physician	$147.4K	$114.1K
James Halverson	VA	Family Medicine Physician	$253K	$0
Christopher Jones	TN	Diagnostic Radiology Physician	$208.2K	$0
Edward Meyers	SC	General Practice Physician	$150.4K	$0
Matthew Horning	WI	Family Medicine Physician	$88K	$0
Pamela Herbert	DC	Emergency Medicine Physician	$0	$87.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rem Arrowhead, Inc.	MN	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$107.9M
The Duluth Clinic, Ltd	MN	Multi-Specialty Clinic/Center	$0	$51.7M
Brightwater Health Dba Human Development Center	MN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$50.4M
Smdc Medical Center	MN	General Acute Care Hospital	$0	$35.3M
St. Luke's Hospital Of Duluth	MN	General Acute Care Hospital	$0	$26.6M
St Marys Medical Center	MN	General Acute Care Hospital	$0	$21M
Lakewalk Surgery Center, Inc.	MN	Ambulatory Surgical Clinic/Center	$1.7M	$8.6M
Webmed Mental Health	MN	Mental Health Counselor	$0	$7.1M
St. Mary's Duluth Clinic Health System	MN	Clinical Medical Laboratory	$260.2K	$5M
St. Ann's Home	MN	Assisted Living Facility	$0	$5.1M

Matthew Holmes — Billing Profile & Reimbursement Data

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Matthew Holmes — 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