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

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

Gene Myers (NPI 1831224526)

Field	Value
Entity Type	Individual
Organization	Gene Myers
Address	16704 Kings Hwy
City	Lewes
State	DE
ZIP	19958
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	February 22, 2007

Payer Source	Total Paid
Medicare	$650.7K
Medicaid	$0

Key Findings

This provider is effectively single-payer in scope for public programs: reported lifetime Medicare revenue is $650.7K while there is no Medicaid billing on file (none below). That concentration means the provider’s exposure and negotiating leverage will be driven almost entirely by Medicare volume and reimbursement dynamics rather than a mixed Medicare/Medicaid panel.

Revenue is highly concentrated in a small set of services: the top 3 Medicare codes by revenue account for 51.4% of this provider's total Medicare revenue, led by 99214 ($129.2K, 21.1%), 78452 ($94K, 15.3%), and 93306 ($91.4K, 14.9%). This indicates that a narrow set of office E/M and advanced cardiac imaging studies drive the majority of billed Medicare dollars.

The code mix signals a cardiology practice that pairs high-volume outpatient evaluation with diagnostic imaging: 99214 (office E/M), 78452 (cardiac SPECT), and 93306 (transthoracic echo) are top revenue drivers, and high-volume ECG and stress-test codes such as 93000 (1.6K claims, $16.3K) and 93015 (266 claims, $12.5K) further emphasize diagnostic and testing throughput. Together these codes suggest the operation is structured around ambulatory cardiology visits plus on-site or closely affiliated cardiac imaging and stress-testing capacity.

For several core services this provider ranks well above peers nationally: 99214 ranks #3980 of 479517 (99th percentile; extreme outlier, far above typical national volume for this code) and 78452 ranks #238 of 14946 (98th percentile; extreme outlier, far above typical national volume for this code), while 93306 ranks #505 of 24624 (98th percentile; notably above typical national volume for this code). These percentile positions indicate regional or specialty prominence in both high-acuity office visits and cardiac imaging relative to national peers.

Procedure and catheterization activity is present but not the dominant revenue stream: 92928 (percutaneous coronary intervention) accounts for $23.9K (3.9%) and ranks #683 of 5112 (86th percentile; typical, unremarkable volume for this code), while imaging supervision codes tied to angiography such as 93458 generate $20.7K (3.4%) and rank #508 of 7990 (94th percentile; notably above typical national volume for this code). In practice this pattern looks like a mixed model with diagnostic and imaging services concentrated in-office and episodic interventional work at a higher-acuity setting.

The provider shows a meaningful footprint in device monitoring and remote follow-up: 93229 (wearable monitoring) produced $25.9K (4.2%), 93296 (remote pacemaker technical component) produced $4.4K (0.7%), and 93294 (physician analysis of device data) produced $3.9K (0.6%). These entries reflect ongoing longitudinal device management and remote surveillance as a recurring, if smaller, revenue stream in the practice mix.

Hospital-based acute care and transition-of-care services are also part of the portfolio: 99223 (initial inpatient/observation care) contributed $37K (6.0%) and ranks #4549 of 139583 (97th percentile; notably above typical national volume for this code), while transitional care code 99496 added $6.7K (1.1%). This suggests the provider maintains both inpatient consult activity and some structured post-discharge management alongside the ambulatory imaging workload.

The provider is long-tenured on Medicare — NPI enumerated 2007-02-22 (~19 years ago) — which, combined with high percentile rankings on several core cardiology codes, implies established referral relationships and sustained service volumes over time. The absence of any Medicaid billing (none below) further implies a patient mix skewed toward Medicare beneficiaries and older adults, which has implications for payer-mix risk and reimbursement strategy for the practice.

Medicare: Complete Services Breakdown

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

49 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…	1,450	$90	$129.2K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	370	$250	$94K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	930	$100	$91.4K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	260	$140	$37K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	300	$100	$28.5K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	210	$130	$27.5K
93229	In this procedure, the provider, typically a technician, places a wearable electrocardiographic monitoring device on the patient, instructs him in its use, and monitors the transmissions, to detect…	40	$680	$25.9K
92928	The provider inserts a catheter through the skin (percutaneous approach) and guides it into the heart's arteries. They deploy one or more stents (small tubes) to keep the artery open and may expand a…	50	$450	$23.9K
93458	In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…	110	$190	$20.7K
J2785	Injection, regadenoson, 0.1 mg	450	$40	$18.2K

Showing 1–10 of 49

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 49 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Delaware Distribution

Gene Myers — 5 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. state median

49 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93306	6	70	450	$100	$51.8K
78452	5	60	120	$250	$40.3K
93229	13	30	40	$670	$34.2K
J2785	15	30	390	$40	$26.9K
99214	52	1,830	150	$80	$25.5K
99233	65	500	80	$90	$15.4K
99232	558	730	120	$60	$14.2K
A9500	3	20	170	$90	$13.9K
92928	2	20	30	$440	$13.8K
93458	4	30	50	$200	$11.9K

Showing 1–10 of 49

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Beebe Medical Center, Inc.	DE	General Acute Care Hospital	$0	$29.2M
Beebe Physician Network Inc.	DE	Internal Medicine Physician	$0	$19.7M
Gaetano Pastore	DE	Cardiovascular Disease Physician	$2.5M	$0
Anthony Furey	DE	Cardiovascular Disease Physician	$2M	$0
Cardiology Physicians, LLC	DE	Cardiovascular Disease Physician	$0	$1.6M
Anthony Clay	DE	Cardiovascular Disease Physician	$1.2M	$0
Rajinder Prasad	DE	Cardiovascular Disease Physician	$1.1M	$0
Alan Micklin	DE	Cardiovascular Disease Physician	$989.1K	$0
Ehtasham Qureshi	DE	Cardiovascular Disease Physician	$975.7K	$0
Mouhanad Freih	DE	Cardiovascular Disease Physician	$796K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Juliano Senior Care, Inc.	DE	In Home Supportive Care Agency	$0	$5.9M
Sussex Emergency Associates LLC	DE	Emergency Medicine Physician	$0	$4.3M
Lourdes Aponte	DE	Rheumatology Physician	$3.6M	$0
Jose Pando	DE	Rheumatology Physician	$3.2M	$0
Delaware Psychological Services LLC	DE	Mental Health Counselor	$0	$3M
The Pediatric & Adolescent Center	DE	Specialist	$0	$2.9M
Sea Haven Home Care, LLC	DE	In Home Supportive Care Agency	$0	$2.3M
Southern Delaware Imaging Assoc	DE	Diagnostic Radiology Physician	$0	$2.3M
Egnm LLC	DE	Ambulatory Surgical Clinic/Center	$2.2M	$13.6K
Focus Behavioral Health At The Beach LP	DE	Counseling Psychologist	$0	$2.2M

Gene Myers — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References