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

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

Adam Waldon (NPI 1831643287)

Field	Value
Entity Type	Individual
Organization	Adam Waldon
Address	1 Choctaw Way
City	Talihina
State	OK
ZIP	74571
Taxonomy	Family Medicine Physician
NPI Enumerated	August 14, 2016

Payer Source	Total Paid
Medicare	$32.4K
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
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…	360	$50	$16.4K
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…	180	$60	$11.8K
G0179	Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and…	70	$30	$2K
11721	The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.	50	$20	$850
98925	The provider performs controlled manual pressure in one or two body regions to treat somatic and nonsomatic disorders.	50	$20	$720
G0180	Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review…	20	$40	$700

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. Oklahoma Distribution

Adam Waldon — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oklahoma

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	2,284	5,560	130	$70	$18.4K
11721	72	90	130	$30	$11.2K
99213	623	5,450	80	$50	$8.7K
G0179	96	320	40	$30	$1.8K
G0180	260	430	20	$40	$1K
98925	1	10	20	$20	$400

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Choctaw Nation Of Oklahoma	OK	Rural Acute Care Hospital	$0	$83.5M
Choctaw Nation Of Oklahoma	OK	Primary Care Clinic/Center	$0	$40.3M
Choctaw Nation Of Oklahoma	OK	Primary Care Clinic/Center	$0	$38M
Choctaw Nation Of Oklahoma	OK	Primary Care Clinic/Center	$0	$30.3M
Choctaw Nation Of Oklahoma	OK	Primary Care Clinic/Center	$0	$25.3M
Choctaw Nation Of Oklahoma	OK	Primary Care Clinic/Center	$0	$9M
Choctaw Nation Of Oklahoma	OK	Primary Care Clinic/Center	$0	$7M
Choctaw Nation Of Oklahoma	OK	Primary Care Clinic/Center	$0	$4.8M
Choctaw Nation Of Oklahoma	OK	Primary Care Clinic/Center	$0	$3.2M
Matthew Phillips	OK	Ophthalmology Physician	$871.6K	$0

Adam Waldon — Billing Profile & Reimbursement Data

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Adam Waldon — 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