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

Why is the Medicaid comparison limited to Kansas 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. Kansas (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 Martin (NPI 1881855104)

Field	Value
Entity Type	Individual
Organization	Benjamin Martin
Address	2650 Shawnee Mission Pkwy
City	Westwood
State	KS
ZIP	66205
Taxonomy	Colon & Rectal Surgery Physician
NPI Enumerated	June 19, 2008

Payer Source	Total Paid
Medicare	$18.2K
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…	50	$100	$5.1K
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…	100	$40	$4.5K
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…	50	$70	$3.8K
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…	10	$100	$1.4K
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…	20	$60	$1.4K
46600	The provider performs an anoscopy, or an examination of the anus using a small, rigid, tubular instrument called an anoscope. He collects samples for analysis by brushing or washing the anal canal.…	40	$30	$1.1K
99203	The provider sees a new 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 provider…	20	$60	$910

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. Kansas Distribution

Benjamin Martin — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kansas

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	3,119	4,310	120	$70	$16.4K
99232	1,465	1,690	70	$60	$10.1K
99213	1,932	4,330	90	$50	$8.7K
99204	670	1,930	40	$100	$6K
46600	6	10	40	$70	$4.5K
99222	975	1,180	30	$90	$4.3K
99203	1,121	1,450	30	$60	$3.6K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sunflower Medical Group PA	KS	Internal Medicine Physician	$0	$8.6M
Rai Care Centers Of Kansas City I, LLC	KS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.9M
Heartland Regional Alcohol & Drug Assessment Center	KS	Community/Behavioral Health Agency	$0	$859.4K
Jeffrey Kaplan	KS	Neurology Physician	$324.1K	$0
Andrea Ely	KS	Internal Medicine Physician	$158.9K	$0
Leyla Shune	KS	Hematology & Oncology Physician	$147.5K	$0
Jamie Temple	KS	Occupational Therapist	$126.8K	$0
Raed Alrajabi	KS	Hematology & Oncology Physician	$121.3K	$0
Onalisa Winblad	KS	Diagnostic Radiology Physician	$106.9K	$0
John May	KS	Internal Medicine Physician	$100.6K	$0

Benjamin Martin — Billing Profile & Reimbursement Data

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Benjamin Martin — 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