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

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

Timothy West (NPI 1861650731)

Field	Value
Entity Type	Individual
Organization	Timothy West
Address	370 E 9th Ave Ste 106
City	Salt Lake City
State	UT
ZIP	84103
Taxonomy	Neurology Physician
NPI Enumerated	May 28, 2008

Payer Source	Total Paid
Medicare	$664.5K
Medicaid	$0

Key Findings

TIMOTHY WEST is a Neurology Physician in SALT LAKE CITY, UT with an NPI enumerated (registered) on 2008-05-28 (~18 years ago). His billed Medicare lifetime revenue is $664.5K and there is no Medicaid billing on file (none below), so the observable business is effectively single-payer Medicare in this data set. This payer concentration should be considered when benchmarking the practice against multi‑payer peers.

Revenue is extremely concentrated: the precomputed top 3 Medicare codes account for 98.9% of this provider's total Medicare revenue. Those codes are J2323 ($515.2K, 78.3% of Medicare revenue), J2350 ($128.8K, 19.6%), and 99214 ($7K, 1.1%), indicating nearly all Medicare dollars flow through a very small set of services.

The code mix points to a specialty infusion practice focused on high-cost disease‑modifying biologics used in neurology: J2323 (Injection, natalizumab, 1 mg) and J2350 (Injection, ocrelizumab, 1 mg) drive the vast majority of revenue. Supporting procedure codes such as 96365 (initial IV infusion) and small volumes of 96413/96415 suggest the practice performs onsite infusion administration and related infusion services, but these are minor revenue contributors compared with the biologic drug codes.

Competitive standing varies by drug: for J2323 the provider reports 30.3K claims and $515.2K revenue and ranks #15 of 40 providers nationally (64th percentile; typical, unremarkable volume for this code), which places him as a moderate-volume participant for natalizumab. By contrast, J2350 shows 3.9K claims and $128.8K revenue with a rank of #103 of 105 providers nationally (2th percentile; typical, unremarkable volume for this code), indicating relatively low national participation in ocrelizumab compared with peers.

Evaluation-and-management codes are present but not material to revenue: 99214 appears with 101 claims and $7K revenue and ranks #246793 of 479517 providers nationally (48th percentile; typical, unremarkable volume for this code), while 99213 shows only 11 claims and $473 revenue. This pattern signals that face‑to‑face office visits occur but are a small part of the financial picture relative to infusion drug administration.

The heavy reliance on two injectable biologic codes (J2323 and J2350) implies operational sensitivity to changes in drug reimbursement, site‑of‑care shifts, or formulary/prescribing trends; with 98.9% of Medicare revenue tied to the top three codes, the practice bears high revenue concentration risk if volumes or unit payments for those codes change. Strategic or payer negotiations should account for that concentration when evaluating sustainability.

The absence of any Medicaid billing (none below) means there is no observed Medicaid revenue to offset Medicare exposure; this lack of Medicaid activity will limit direct comparisons to in‑state Medicaid peers and suggests the provider either does not treat Medicaid populations or bills them outside the available dataset. For payer-mix analysis and network contracting, treat this provider as effectively Medicare-focused based on the available billing records.

Medicare: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J2323	Injection, natalizumab, 1 mg	30,310	$20	$515.2K
J2350	Injection, ocrelizumab, 1 mg	3,900	$30	$128.8K
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…	100	$70	$7K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	100	$50	$4.5K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	20	$50	$1.2K
96415	In this add on procedure, the provider continues administration of a chemotherapy drug into a vein using an infusion technique. He uses this code to report each additional hour of infusion beyond the…	30	$20	$580
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…	10	$40	$470
96375	Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…	30	$10	$250
J2930	Injection, methylprednisolone sodium succinate, up to 125 mg	10	$1	$60
J7040	Infusion, normal saline solution, sterile (500 ml = 1 unit)	20	$1	$20

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Utah Distribution

Timothy West — 0 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. state median

10 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J2323	4	10	32,130	$20	$741.7K
J2350	4	10	5,100	$40	$221.6K
96413	50	50	100	$90	$13.8K
99214	1,703	4,080	80	$80	$11.6K
99213	3,653	3,680	60	$50	$6.4K
96365	36	80	90	$40	$5.2K
96415	33	40	60	$20	$2K
96375	31	30	50	$10	$990
J2930	8	10	30	$1	$140
J7040	7	10	40	$1	$40

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sansum Clinic	CA	Multi-Specialty Clinic/Center	$0	$24.4M
Nathan Steinle	CA	Retina Specialist (Ophthalmology) Physician	$9.5M	$0
Stephen Couvillion	CA	Retina Specialist (Ophthalmology) Physician	$6.4M	$0
Alessandro Castellarin	CA	Retina Specialist (Ophthalmology) Physician	$5.4M	$0
William Pace	CA	Nuclear Medicine Physician	$4.1M	$0
Dr John Foley LLC	UT	Neurology Physician	$0	$3.9M
Dante Pieramici	CA	Retina Specialist (Ophthalmology) Physician	$3.7M	$0
Daniel Greenwald	CA	Medical Oncology Physician	$3.5M	$0
Ma'an Nasir	CA	Retina Specialist (Ophthalmology) Physician	$3M	$0
Julian Davis	CA	Hematology & Oncology Physician	$2.7M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ihc Health Services Inc	UT	Rehabilitation Clinic/Center	$0	$2.5M
Diana Banks	UT	Neurology Physician	$1.6M	$0
John Foley	UT	Neurology Physician	$789.8K	$608K
April Erwin	UT	Neurology Physician	$1.2M	$0
Ihc Health Services Inc	UT	Psychiatry Physician	$0	$830.1K
Shriners Hospitals For Children	UT	Children's Hospital	$0	$605.5K
Viktoria Kaplan	UT	Neurology Physician	$517.8K	$0
Daniel Preece	UT	Foot & Ankle Surgery Podiatrist	$267.1K	$0
Avenues Surgery Center, LLC	UT	Ambulatory Surgical Clinic/Center	$236K	$0
Stacey Steeves	UT	Neurology Physician	$196.4K	$0

Timothy West — Billing Profile & Reimbursement Data

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Timothy West — 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