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

Why is the Medicaid comparison limited to South Dakota 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. South Dakota (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.

Orvar Jonsson (NPI 1831302009)

Field	Value
Entity Type	Individual
Organization	Orvar Jonsson
Address	4520 W 69th St
City	Sioux Falls
State	SD
ZIP	57108
Taxonomy	Advanced Heart Failure and Transplant Cardiology Physician
NPI Enumerated	May 7, 2007

Payer Source	Total Paid
Medicare	$315.3K
Medicaid	$0

Key Findings

ORVAR JONSSON is an Advanced Heart Failure and Transplant Cardiology physician based in SIOUX FALLS, SD with an NPI enumerated on 2007-05-07 (~19 years ago). The provider's Medicare lifetime revenue on file is $315.3K and there is no Medicaid billing on file, indicating the available claims dataset is effectively single-payer (Medicare) for this profile.

Revenue is highly concentrated in a small set of outpatient and procedural codes: 99214 ($100.6K, 1.3K claims), 93306 ($43.4K, 904 claims), and 99232 ($34K, 567 claims) together account for 57.1% of this provider's total Medicare revenue, per the precomputed top-3 share. This concentration implies that a few service lines drive the majority of reported Medicare dollars.

The mix of high-volume codes points to a practice that blends ambulatory cardiology with significant diagnostic imaging and hospital-based care. High volumes for office E/M (99214, 99204) and transthoracic echo (93306), together with billed services for SPECT nuclear imaging (78452) and angiography imaging/interpretation (93458, 93454), indicate operational focus on longitudinal outpatient management plus advanced cardiac imaging and procedure interpretation.

99214 is an outlier in national volume for this provider: it generated $100.6K from 1.3K claims and ranks #6028 of 479517 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code). Similarly, 99204 (new patient visits) produced $25.3K from 236 claims and ranks #2935 of 227068 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code), signaling unusually large office visit throughput compared with peers.

Imaging and stress-testing activity is also elevated versus peers: 93306 (transthoracic echo) produced $43.4K from 904 claims and ranks #581 of 24624 providers nationally (98th percentile; notably above typical national volume for this code), while 78452 (SPECT studies) produced $18.4K from 341 claims and ranks #302 of 14946 providers nationally (98th percentile; notably above typical national volume for this code). In addition, stress ECG supervision (93016) and stress ECG interpretation (93018) both appear as extreme outliers (99th percentile), reinforcing a high throughput of diagnostic cardiac testing.

Hospital-based E/M and catheterization imaging appear as meaningful but smaller revenue streams: 99232 contributed $34K (567 claims) and ranks #12106 of 177383 providers nationally (93th percentile; typical, unremarkable volume for this code), while angiography imaging supervision 93458 contributed $12.6K (59 claims) and ranks #2124 of 7990 providers nationally (73th percentile; typical, unremarkable volume for this code). These entries suggest the physician is active in inpatient/observation management and participates in cath lab imaging interpretation but not at dominant national volumes for those specific services.

The provider bills for device and remote monitoring services, including 93294 (401 claims, $8K revenue; ranks #1311 of 7466 providers nationally — 82th percentile; typical, unremarkable volume), 93280 (121 claims, $3.4K revenue; 77th percentile; typical) and 93264 (47 claims, $1.2K revenue; 29th percentile; typical). This pattern indicates ongoing management of implanted devices and remote hemodynamic monitoring in addition to office-based and imaging services.

Because there is no Medicaid activity on file, payer mix is heavily skewed to Medicare in the observed data; with total Medicare revenue of $315.3K concentrated in a few high-volume codes, the provider's reported revenue profile could be sensitive to reimbursement or utilization changes affecting those specific E/M and imaging services. Analysts evaluating network contracting or risk should treat this as a Medicare-focused billing footprint with concentrated service-line exposure.

Medicare: Complete Services Breakdown

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

32 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…	1,270	$80	$100.6K
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…	900	$50	$43.4K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	570	$60	$34K
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…	240	$110	$25.3K
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…	340	$50	$18.4K
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…	60	$210	$12.6K
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…	120	$100	$12K
93454	In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography in which injections are performed to assess any coronary artery disease or any stenosis…	50	$170	$8.7K
93294	The provider, a physician or other qualified health care professional, remotely analyzes, for a period up to 90 days, the function of a single, dual, multiple lead, or leadless pacemaker system,…	400	$20	$8K
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…	140	$50	$6.7K

Showing 1–10 of 32

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 32 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Dakota Distribution

Orvar Jonsson — 5 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Dakota

Full comparison — all codes billed, vs. state median

32 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93306	7	60	250	$50	$21.4K
93458	11	30	40	$180	$11.9K
99214	4	1,660	90	$70	$11.4K
99233	194	290	60	$90	$10.8K
99232	16	570	80	$60	$9.2K
78452	5	40	140	$60	$8.6K
93294	9	20	310	$20	$8.2K
93454	7	20	40	$150	$7.5K
99223	160	340	40	$130	$7.5K
78431	4	10	80	$70	$6.9K

Showing 1–10 of 32

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sanford Medical Center	SD	Family Medicine Physician	$0	$68.8M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Somc Medical Care Foundation, Inc.	OH	Family Medicine Physician	$0	$25.3M
Sanford Medical Center	SD	General Acute Care Hospital	$0	$24.4M
Sanford Medical Center	SD	Clinical Medical Laboratory	$1.8M	$18M
Sanford Medical Center	SD	Air Ambulance	$0	$11.9M
Avera Marshall	MN	Critical Access Hospital	$0	$10M
Nathan Steinle	CA	Retina Specialist (Ophthalmology) Physician	$9.5M	$0
Avera Mckennan	SD	Psychiatry Physician	$0	$9.1M
Prema Abraham	SD	Retina Specialist (Ophthalmology) Physician	$7.1M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vance Thompson Vision Surgery Center Prof LLC	SD	Ambulatory Surgical Clinic/Center	$4.5M	$22.7K
Siouxland Oral Surgery	SD	Oral and Maxillofacial Surgery (Dentist)	$0	$3.9M
Avera Home Medical Equipment, LLC	SD	Durable Medical Equipment & Medical Supplies	$0	$3.4M
Ryan Geraets	SD	Ophthalmology Physician	$3M	$0
Anderson-smith Speech Therapy, LLC	SD	Speech-Language Pathologist	$0	$1.9M
Ophthalmology Ltd Eye Surgery Center L L C	SD	Ambulatory Surgical Clinic/Center	$1.8M	$16.2K
Elizabeth Atchison	SD	Ophthalmology Physician	$1.7M	$0
Dakota Vision Center, LLC	SD	Optometrist	$0	$1.2M
Usc Ambulatory Surgical Center Prof LLC	SD	Ambulatory Surgical Clinic/Center	$1.1M	$44.2K
Avera Mckennan	SD	Physical Therapist	$0	$1M

Orvar Jonsson — 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