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

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

Philip Fish (NPI 1841782307)

Field	Value
Entity Type	Individual
Organization	Philip Fish
Address	105 N Keene St Ste 201
City	Columbia
State	MO
ZIP	65201
Taxonomy	Urology Physician
NPI Enumerated	May 31, 2018

Payer Source	Total Paid
Medicare	$42.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

15 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…	110	$90	$10.5K
52000	In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…	60	$170	$9.5K
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…	120	$70	$7.5K
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…	40	$120	$4.3K
64566	In this procedure, the provider applies electrical stimulation to the posterior tibial nerve by inserting a needle electrode through the skin.	20	$80	$2K
84153	The lab analyst performs testing for total prostate specific antigen, PSA, typically on serum or plasma samples using laboratory analyzers. PSA is a protein the prostate gland produces, and…	100	$20	$1.9K
82570	The lab analyst measures the amount of creatinine, in a patient specimen, other than blood. Creatinine is the waste material generated by the muscle tissue produced from the breakdown of creatine…	310	$10	$1.6K
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…	20	$100	$1.5K
52332	The provider performs cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…	10	$90	$1.1K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	80	$10	$620

Showing 1–10 of 15

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Missouri Distribution

Philip Fish — 1 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. state median

15 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	4,156	8,960	100	$80	$13.9K
52000	108	170	80	$150	$12.8K
99213	2,875	8,730	70	$50	$7K
52332	102	110	20	$190	$4.9K
99204	1,934	4,360	30	$100	$4.8K
64566	8	10	60	$80	$4.4K
99222	2,371	3,100	30	$100	$4.3K
84153	48	170	50	$20	$2K
84403	34	50	30	$30	$2K
36415	939	1,570	110	$10	$1.9K

Showing 1–10 of 15

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Liana Makarian	MO	Hematology & Oncology Physician	$3.3M	$0
Umasankar Ramadoss	MO	Hematology & Oncology Physician	$3.3M	$0
Mark Tungesvik	MO	Hematology & Oncology Physician	$3.3M	$0
Elangovan Balakrishnan	MO	Hematology & Oncology Physician	$3.1M	$0
Andrew Iliff	MO	Hematology & Oncology Physician	$2.8M	$0
Mark Bryer	MO	Radiation Oncology Physician	$638K	$0
Reed Cope	MO	Radiation Oncology Physician	$572.2K	$0
Alexandre Tungesvik	MO	Hematology & Oncology Physician	$569.8K	$0
Harold Johnson	MO	Radiation Oncology Physician	$542.5K	$0
Hunter Nolen	MO	Urology Physician	$359.5K	$0

Philip Fish — Billing Profile & Reimbursement Data

Sign up for Philip Fish — Billing Profile & Reimbursement Data policy alerts

Philip Fish — Billing Profile & Reimbursement Data

Sign up for Philip Fish — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References