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

Why is the Medicaid comparison limited to West Virginia 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. West Virginia (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.

Michael Buchanan (NPI 1871945295)

Field	Value
Entity Type	Individual
Organization	Michael Buchanan
Address	209 Highland Ave
City	Oak Hill
State	WV
ZIP	25901
Taxonomy	Optometrist
NPI Enumerated	July 9, 2016

Payer Source	Total Paid
Medicare	$19K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	60	$90	$5.8K
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…	60	$70	$4K
92002	The provider performs an intermediate level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program.	80	$40	$3.4K
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	2,340	$1	$2.3K
92012	For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…	60	$40	$2.3K
92250	Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…	40	$20	$960
92083	The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…	10	$40	$440

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. West Virginia Distribution

Michael Buchanan — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66984	11	90	210	$70	$60.7K
99214	1,776	2,740	100	$70	$11.8K
92012	40	80	70	$50	$7.2K
99204	207	1,220	30	$100	$4.1K
92083	144	150	40	$40	$2.9K
92250	86	150	50	$20	$2.1K
92002	1	10	30	$50	$1.6K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Oak Hill Hospital Corporation	WV	Critical Access Hospital	$0	$18.8M
New River Health Association, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$8.8M
Oak Hill Emergency Physicians, LLC	WV	Emergency Medicine Physician	$0	$3.8M
Camc Plateau Medical Center, Inc.	WV	Critical Access Hospital	$0	$3.1M
Oak Hill Clinic Corp	WV	Family Medicine Physician	$0	$2.3M
New River Health Association, Inc	WV	Federally Qualified Health Center (FQHC)	$0	$1.9M
New River Health Association, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$1.5M
New River Health Association, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$1.2M
Adf Behavioral Health Services, LLC	WV	Community/Behavioral Health Agency	$0	$825.9K
Richard Reece	WV	Internal Medicine Physician	$122.1K	$0

Michael Buchanan — Billing Profile & Reimbursement Data

Sign up for Michael Buchanan — Billing Profile & Reimbursement Data policy alerts

Michael Buchanan — Billing Profile & Reimbursement Data

Sign up for Michael Buchanan — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References