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

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

Andrew Bauer (NPI 1891731949)

Andrew Bauer is a neurological surgery physician provider located in Oklahoma City, Oklahoma. This profile covers 12 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Provider details (source: NPPES NPI Registry)

Medicare: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Andrew Bauer
Address	1000 N Lincoln Blvd Ste 4000
City	Oklahoma City
State	OK
ZIP	73104
Taxonomy	Neurological Surgery Physician
NPI Enumerated	June 20, 2006

Payer Source	Total Paid
Medicare	$56.2K
Medicaid	$0

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
61510	In this procedure, the provider removes a portion of skull bone and excises a brain tumor present above the tentorium cerebelli, a fold of dura mater separating the cerebellum from the occipital and…	10	$1,680	$20.2K
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…	80	$90	$7K
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	$110	$6.8K
61781	In this add–on procedure, the provider uses a computer navigation system along with computed tomography, or CT, and or magnetic resonance imaging, or MRI, scans to guide him and navigate during…	30	$180	$4.5K
36224	In this procedure, the provider performs imaging supervision and interpretation for angiography performed by inserting a catheter through a distal artery into the thoracic aorta and farther into the…	10	$280	$3.9K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	80	$40	$3K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	50	$60	$2.7K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	20	$120	$2.2K
36226	In this procedure, the provider performs imaging supervision and interpretation for angiography performed by inserting a catheter through a distal artery into the thoracic aorta and aortic arch. He…	10	$190	$2.1K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	10	$150	$1.9K

Showing 1–10 of 12

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
61510	3	10	20	$1,660	$24.9K
99214	3,498	5,560	130	$70	$18.4K
99232	1,608	1,770	90	$60	$14K
99213	5,367	5,450	80	$50	$8.7K
99215	1,030	1,310	40	$110	$8.2K
36224	6	10	20	$280	$6.4K
99205	519	620	30	$140	$5.8K
99204	876	2,790	40	$100	$5.8K
61781	5	10	30	$170	$5.5K
36226	8	10	20	$170	$3.8K

Andrew Bauer — Billing Profile & Reimbursement Data

Sign up for Andrew Bauer — Billing Profile & Reimbursement Data policy alerts

Andrew Bauer — Billing Profile & Reimbursement Data

Sign up for Andrew Bauer — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References