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

Why is the Medicaid comparison limited to Massachusetts 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. Massachusetts (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 Gallagher (NPI 1801817325)

Field	Value
Entity Type	Individual
Organization	James Gallagher
Address	61 Cooper St
City	Agawam
State	MA
ZIP	01001
Taxonomy	Internal Medicine Physician
NPI Enumerated	July 21, 2006

Payer Source	Total Paid
Medicare	$218.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	1,280	$60	$79.2K
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…	470	$150	$69.7K
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…	640	$90	$54.7K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	80	$140	$11.4K
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…	40	$110	$4.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Massachusetts Distribution

James Gallagher — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	236	840	300	$80	$37.8K
99308	46	750	170	$50	$20.5K
99306	12	370	80	$140	$17.9K
G0439	1,429	3,350	70	$120	$11.9K
99305	143	240	50	$100	$10.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alignmed Partners, PC	AL	Geriatric Medicine (Internal Medicine) Physician	$0	$16.8M
Mohammad Suhail	RI	Internal Medicine Physician	$126.3K	$16M
Christiana Care Health Services Inc	DE	Hospitalist Physician	$0	$13.6M
Caitlin Trainor	PA	Family Nurse Practitioner	$1.3M	$0
Akindele Majekodunmi	MA	Internal Medicine Physician	$404.3K	$730.9K
Shawna Murphy	PA	Emergency Medicine Physician	$989.5K	$0
Joanne Lane	PA	Internal Medicine Physician	$746.5K	$13.7K
Yogesh Vohra	MD	Internal Medicine Physician	$595.5K	$0
Matthew Cahill	PA	Internal Medicine Physician	$567.8K	$11.8K
Todd Aaron	PA	Internal Medicine Physician	$553.4K	$12.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Agawam Medical Supply Corp	MA	Durable Medical Equipment & Medical Supplies	$0	$14.3M
Sunshine Village	MA	Developmentally Disabled Services Day Training Agency	$0	$8.4M
Baroco Corporation	MA	Developmentally Disabled Services Day Training Agency	$0	$7.6M
Town Of Agawam	MA	Land Ambulance	$637.7K	$1.6M
Christina Hayfron-benjamin	MA	Internal Medicine Physician	$127.9K	$10.1K
Daniel Griffin	MA	Physical Medicine & Rehabilitation Physician	$133K	$0
Kristin Pisano	MA	Physician Assistant	$91.6K	$0
Christopher Rumplik	MA	Physician Assistant	$18.5K	$0
Sharon Macmillan	MA	Gynecology Physician	$15.6K	$0

James Gallagher — Billing Profile & Reimbursement Data

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James Gallagher — 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