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

Why is the Medicaid comparison limited to Idaho 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. Idaho (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 Rock (NPI 1831774611)

Field	Value
Entity Type	Individual
Organization	James Rock
Address	11092 W Petunia Dr
City	Boise
State	ID
ZIP	83709
Taxonomy	Oral and Maxillofacial Radiology Dentistry
NPI Enumerated	March 13, 2021

Payer Source	Total Paid
Medicare	$50.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
76377	In this procedure, the provider performs interpretation and reporting for computed tomograph, magnetic resonance imaging, ultrasound, or other tomographic modality under concurrent supervision with…	410	$50	$19K
70150	The provider performs a plain X–ray exam of the facial bones, including at least three views, to determine if the patient has sustained facial fractures or some other abnormality.	370	$30	$11K
70486	The provider uses computed tomography, or CT, to examine the maxillofacial area, such as the upper jaw or face structures. The provider does not administer contrast for this exam.	410	$30	$10.7K
70110	The provider takes plain X–rays of the mandible, or the lower jaw bone; he obtains 4 or more views as needed to diagnose a fracture or other abnormality, or to confirm reduction of a fracture.	370	$30	$9.9K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Idaho Distribution

James Rock — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
70150	2	10	520	$30	$15.9K
70110	2	10	520	$30	$14.8K
76377	2	20	30	$40	$5.3K
70486	2	70	20	$40	$1.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's Therapy Place, Inc.	ID	Occupational Therapist	$0	$30M
Raise The Bottom Training & Counseling Services, LLC	ID	Addiction (Substance Use Disorder) Counselor	$241.2K	$10.8M
Independent School District Of Boise City	ID	Local Education Agency (LEA)	$0	$7M
Kaleidoscope Pediatric Therapy LLC	ID	Occupational Therapist	$0	$5M
A-1 Home Health Care LLC	ID	Home Health Agency	$0	$4.5M
River City Surgical Center	ID	Ambulatory Surgical Clinic/Center	$0	$4.1M
Hand In Hand LLC	ID	Primary Care Nurse Practitioner	$0	$4.1M
Treasure Valley Pediatric Dentistry	ID	Pediatric Dentistry	$0	$3.2M
Edgewood Spring Creek Overland, LLC	ID	Assisted Living Facility	$0	$2.2M
Sandra Sullivan	ID	Personal Care Attendant	$0	$2.1M

James Rock — Billing Profile & Reimbursement Data

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James Rock — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References