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

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

Benjamin Gillespie (NPI 1841421872)

Field	Value
Entity Type	Individual
Organization	Benjamin Gillespie
Address	6630 University Ave
City	Middleton
State	WI
ZIP	53562
Taxonomy	Physical Medicine & Rehabilitation Physician
NPI Enumerated	August 8, 2009

Payer Source	Total Paid
Medicare	$109.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	1,440	$60	$85K
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…	140	$100	$13.8K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	70	$80	$5.8K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	60	$60	$3.7K
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…	20	$60	$1.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wisconsin Distribution

Benjamin Gillespie — 2 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	8,765	9,800	80	$70	$9.2K
99232	9	3,490	60	$60	$7.2K
99239	434	1,360	40	$80	$5K
99222	38	2,200	20	$90	$3.1K
99238	55	630	20	$60	$1.9K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Spectrum Health Primary Care Partners	MI	Internal Medicine Physician	$0	$219.9M
University Of Wisconsin Hospitals And Clinics Authority	WI	General Acute Care Hospital	$0	$120M
University Of Wisconsin Medical Foundation, Inc	WI	Multi-Specialty Clinic/Center	$0	$15.2M
Spectrum Health Primary Care Partners	MI	Urgent Care Clinic/Center	$0	$14.5M
David Parke	MN	Ophthalmology Physician	$4.8M	$0
Sundeep Dev	MN	Ophthalmology Physician	$4.5M	$0
St. Joseph's Health Services, Inc.	WI	Critical Access Hospital	$0	$3.9M
Polly Quiram	MN	Ophthalmology Physician	$3.7M	$0
Abdhish Bhavsar	MN	Retina Specialist (Ophthalmology) Physician	$2.3M	$0
Richard Johnston	MN	Retina Specialist (Ophthalmology) Physician	$1.7M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chartwell Midwest Wisconsin, LLC	WI	Home Infusion Therapy Pharmacy	$0	$8M
Chartwell Midwest Wisconsin, LLC	WI	Oxygen Equipment & Supplies (DME)	$0	$5.1M
Middleton-cross Plains Area School District	WI	Contractor	$0	$2.2M
City Of Middleton	WI	Land Ambulance	$245.1K	$265.7K
Jonathan Chang	WI	Ophthalmology Physician	$448.5K	$0
Jennifer Larson	WI	Ophthalmology Physician	$294.5K	$0
Walgreen Co	WI	Pharmacy	$213.2K	$5.1K
Costco Wholesale Corporation	WI	Community/Retail Pharmacy	$187.2K	$0
Walgreen Co	WI	Pharmacy	$177.5K	$3.1K
Travis Rumery	WI	Ophthalmology Physician	$169.8K	$0

Benjamin Gillespie — Billing Profile & Reimbursement Data

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Benjamin Gillespie — 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

Nearby Providers

Frequently Asked Questions

References