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

Why is the Medicaid comparison limited to West Virginia 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. West Virginia (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 Reagan (NPI 1821433673)

Field	Value
Entity Type	Individual
Organization	James Reagan
Address	1600 Medical Center Dr Ste G500
City	Huntington
State	WV
ZIP	25701
Taxonomy	Orthopaedic Foot and Ankle Surgery Physician
NPI Enumerated	May 7, 2013

Payer Source	Total Paid
Medicare	$20.3K
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
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…	120	$80	$9K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	90	$50	$4.3K
73630	In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.	120	$20	$1.9K
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…	20	$100	$1.7K
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	$1.6K
73610	In this procedure, the provider takes three or more X–ray images of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle area.	80	$20	$1.3K
73600	In this procedure, the provider takes two X–ray views of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle.	20	$20	$340
J0702	Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	50	$10	$240

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. West Virginia Distribution

James Reagan — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,188	2,740	100	$70	$11.8K
99213	1,422	2,860	80	$50	$7.5K
99222	809	1,080	30	$100	$4.5K
99204	892	1,220	30	$100	$4.1K
73630	20	170	50	$10	$700
J0702	25	40	70	$1	$490
73610	8	130	40	$10	$380
73600	5	10	20	$10	$210

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Pediatric Associates, Inc.	IN	Pediatrics Physician	$0	$98.3M
University Physicians & Surgeons, Inc	WV	Internal Medicine Physician	$0	$58.3M
University Physicians & Surgeons, Inc.	WV	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.4M
William Myer	WV	Oral and Maxillofacial Surgery (Dentist)	$0	$774.1K
Vishal Verma	WV	Ophthalmology Physician	$419.8K	$0
Robin Arora	WV	Nephrology Physician	$392.5K	$0
Jonathan Cuda	TN	Anatomic Pathology Physician	$326.7K	$0
Rabah Boukhemis	WV	Physical Medicine & Rehabilitation Physician	$210.6K	$0
Matthew Bullock	WV	Adult Reconstructive Orthopaedic Surgery Physician	$207.9K	$0
Cynthia Pinson	WV	Family Medicine Physician	$206.4K	$0

James Reagan — Billing Profile & Reimbursement Data

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James Reagan — 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

Frequently Asked Questions

References