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

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

Philip Fischer (NPI 1821163585)

Field	Value
Entity Type	Individual
Organization	Philip Fischer
Address	800 St Vincents Dr
City	Birmingham
State	AL
ZIP	35205
Taxonomy	Surgery Physician
NPI Enumerated	November 21, 2006

Payer Source	Total Paid
Medicare	$29.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	110	$110	$12.1K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	80	$90	$7.3K
49505	The provider repairs an initial inguinal hernia on a child, five years of age or older. She pushes the hernia back to reduce it.	10	$400	$5.1K
64774	The provider removes a tumor or mass growing from a nerve that supplies a region of the skin. The growth on this mixed peripheral nerve may be caused by trauma, amputation, or surgery.	20	$160	$2.8K
55520	In this procedure, the provider removes diseased or damaged tissue from the spermatic cord in the scrotum, the pouch that holds the testicles, to relieve pain or discomfort and or to restore…	10	$180	$2.1K
74300	In this procedure, the provider performs imaging supervision and interpretation, S&I, while injecting a radio contrast material into the patient’s common bile duct during surgery to help detect…	10	$10	$110

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Alabama Distribution

Philip Fischer — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	4,413	7,330	120	$80	$16.8K
49505	5	10	20	$660	$9.9K
99204	284	3,750	30	$100	$4.8K
64774	1	10	20	$160	$2.8K
55520	1	10	10	$180	$2.1K
74300	11	10	20	$10	$160

Philip Fischer — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References