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

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

John Pickrell (NPI 1891748703)

Field	Value
Entity Type	Individual
Organization	John Pickrell
Address	1230 E 1st St
City	Casper
State	WY
ZIP	82601
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	May 19, 2006

Payer Source	Total Paid
Medicare	$309.4K
Medicaid	$0

Key Findings

Practice composition and service lines: Medicare claims are concentrated in outpatient cardiology and diagnostic imaging, driven by high-volume office visits and echocardiography. The three highest-revenue codes are 99213 (1.5K claims, $66 avg paid/claim, $96.6K revenue), 93306 (499 claims, $114 avg paid/claim, $56.9K revenue), and 99214 (286 claims, $96 avg paid/claim, $27.5K revenue), and the broader code mix also includes stress testing (93015), SPECT/nuclear imaging (78452, A9500, J2785), ECGs (93000), and catheterization imaging (93458, 93460), consistent with a clinic that pairs ambulatory evaluation-and-management with onsite cardiac diagnostics and some interventional imaging support.

Revenue concentration: the three top Medicare codes account for 59.3% of this provider’s total Medicare revenue, and Medicare lifetime revenue is reported as $309.4K. This indicates a majority of billing is driven by a narrow set of office visits and echocardiography services rather than a wide, evenly distributed procedural portfolio.

Payer mix and exposure: this provider is effectively single-payer with respect to public programs — Medicaid shows no billing on file (none below) while Medicare accounts for $309.4K in lifetime revenue. The absence of Medicaid activity suggests limited exposure to that payer population and potential vulnerability to changes in Medicare contracting or referral patterns in the local market.

Competitive standing on primary office visits: the provider is an extreme outlier nationally on 99213 (ranks #2324 of 457151 providers nationally, 99th percentile; extreme outlier, far above typical national volume for this code), indicating substantially higher-than-typical volume of low-complexity established-patient visits compared with peers. Moderate-level established visits (99214) are at typical but above-average volume (ranks #106035 of 479517, 78th percentile), reinforcing a high-throughput ambulatory visit model.

Diagnostic throughput and monitoring: this provider reports notably high volumes for basic cardiac diagnostics — 93000 has 686 claims ($11 avg paid/claim, $7.5K revenue) and ranks in the 95th percentile (notably above typical national volume), and 93793 INR management has 346 claims ($9 avg paid/claim, $3.1K revenue) at the 85th percentile. These figures suggest substantial routine testing and chronic-care monitoring infrastructure supporting outpatient management.

Procedural and imaging footprint is present but limited: higher-complexity imaging and cath-related codes appear but at modest volumes — 93458 (33 claims, $227 avg paid/claim, $7.5K revenue) ranks in the mid peers (44th percentile) and 93460 (13 claims, $288 avg paid/claim, $3.7K revenue) ranks in the lower national band (20th percentile). Nuclear cardiology inputs such as 78452 (77 claims, $255 avg paid/claim, $19.6K revenue), A9500, and J2785 are present, indicating in-house or closely affiliated SPECT imaging capacity without high throughput of invasive procedures.

Local/specialty footprint nuance: some specialized codes are concentrated in small national cohorts — for example Q9950 shows 100 claims ($15 avg paid/claim, $1.5K revenue) and ranks #31 of 114 providers nationally (73rd percentile), implying this provider participates in certain niche imaging services more commonly handled by a limited set of peers. Conversely, pediatric/congenital echo code 93303 ranks low relative to its small national cohort (22nd percentile), indicating limited activity in that sub-specialty.

Tenure and stability: the provider’s NPI was enumerated on 2006-05-19 (~20 years ago), indicating long-standing participation in Medicare. Combined with a concentrated revenue mix and strong national standing on routine outpatient E/M volume, this tenure supports continuity of a clinic-based cardiology practice focused on high outpatient throughput and diagnostic testing.

Medicare: Complete Services Breakdown

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

36 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	1,460	$70	$96.6K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	500	$110	$56.9K
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…	290	$100	$27.5K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	80	$260	$19.6K
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…	180	$80	$15.2K
A9500	Technetium tc-99m sestamibi, diagnostic, per study dose	100	$130	$13.2K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	60	$140	$8.1K
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	690	$10	$7.5K
93458	In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…	30	$230	$7.5K
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…	110	$60	$6.7K

Showing 1–10 of 36

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 36 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wyoming Distribution

John Pickrell — 3 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wyoming

Full comparison — all codes billed, vs. state median

36 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93306	5	20	300	$100	$29.6K
A9500	5	10	90	$130	$15.8K
99214	161	780	100	$80	$14.8K
78452	9	20	70	$210	$13.7K
99232	84	190	90	$60	$11K
J2785	6	10	180	$40	$10.6K
93351	4	10	30	$170	$9.9K
99213	3	850	110	$60	$9.9K
93460	6	10	20	$250	$9.6K
99223	37	130	40	$130	$7.8K

Showing 1–10 of 36

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nathan Steinle	CA	Retina Specialist (Ophthalmology) Physician	$9.5M	$0
Prema Abraham	SD	Retina Specialist (Ophthalmology) Physician	$7.1M	$0
Riverton Memorial Hospital LLC	WY	Rural Acute Care Hospital	$0	$4.7M
Kyle Thompson	ID	Retina Specialist (Ophthalmology) Physician	$4.5M	$0
Wyoming Medical Center Inc	WY	General Acute Care Hospital	$0	$4.4M
Douglas Holmes	WY	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
Mitchell Goff	UT	Retina Specialist (Ophthalmology) Physician	$3.8M	$0
Brittney Statler	CO	Ophthalmology Physician	$3.7M	$0
Arthur Korotkin	CO	Ophthalmology Physician	$3.7M	$0
Richard Kinsey	TN	Anatomic Pathology & Clinical Pathology Physician	$3.3M	$147.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Wyoming	WY	Federally Qualified Health Center (FQHC)	$0	$14.8M
Bear Country Home Healthcare	WY	Home Health Agency	$0	$7.8M
Wyoming Independent Living Rehabilitation, Inc.	WY	Case Management Agency	$0	$4.7M
Emergency Medical Physicians PC	WY	Emergency Medicine Physician	$0	$4.1M
Acm Therapy Group LLC	WY	Occupational Therapist	$0	$3.6M
Emg Casper Pp LLC	WY	Assisted Living Facility	$0	$3.5M
Renewed Hope Foundation, Inc.	WY	Physical Therapist	$0	$2.6M
Optimal Physical Therapy, LLC	WY	Physical Therapy Clinic/Center	$0	$2.5M
Cedar Ridge Child And Family Counseling	WY	Clinical Psychologist	$0	$2.4M
Aspire Case Management Services	WY	Case Management Agency	$0	$2.3M

John Pickrell — 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