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

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

Justin Alexander (NPI 1821300492)

Field	Value
Entity Type	Individual
Organization	Justin Alexander
Address	1 Glenlake Pkwy Ste 700
City	Atlanta
State	GA
ZIP	30328
Taxonomy	Physical Medicine & Rehabilitation Physician
NPI Enumerated	July 11, 2010

Payer Source	Total Paid
Medicare	$189.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 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…	2,500	$60	$147.3K
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…	390	$100	$40.8K
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…	20	$80	$1.8K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Georgia Distribution

Justin Alexander — 2 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	524	560	270	$70	$38.4K
99308	6	500	150	$50	$17.4K
99305	4	160	40	$90	$7.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nicholas Wieczorek	NC	Physical Medicine & Rehabilitation Physician	$137K	$0
Tiwalade Olawuyi	GA	Family Nurse Practitioner	$122.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Finan Dermatopathology Laboratory, P.C.	GA	Clinical Medical Laboratory	$1.8M	$0
Thomas Eye Surgery Center LLC	GA	Ambulatory Surgical Clinic/Center	$1.8M	$0
Paul Kaufman	GA	Ophthalmology Physician	$1.7M	$0
Jessica Mccluskey	GA	Ophthalmology Physician	$1.3M	$0
Woolfson Ambulatory Surgery Center, LLC	GA	Ophthalmologic Surgery Clinic/Center	$861.9K	$0
Merinda Herron	GA	Pediatrics Physician	$0	$770.9K
Mid Physician Network (oh), LLC	GA	General Practice Physician	$0	$756.5K
Kirk Paulk	GA	Internal Medicine Physician	$711.8K	$0
Nandini Setia	GA	Rheumatology Physician	$629.3K	$0
Mark Berman	GA	Ophthalmology Physician	$395.1K	$0

Justin Alexander — Billing Profile & Reimbursement Data

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Justin Alexander — 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