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.

James Nichols (NPI 1891880282)

Field	Value
Entity Type	Individual
Organization	James Nichols
Address	5121 S Cottonwood Street
City	Murray
State	UT
ZIP	84157
Taxonomy	Anesthesiology Physician
NPI Enumerated	October 3, 2006

Payer Source	Total Paid
Medicare	$10.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
00560	The provider performs anesthesia services for a patient undergoing a procedure involving the heart, the sac around the heart, and the great vessels of the chest, such as the aorta, its major…	10	$380	$4.6K
01402	The provider performs anesthesia services for a patient undergoing an open or arthroscopic total knee arthroplasty.	10	$230	$2.7K
00731	The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…	10	$90	$1.2K
00811	The provider performs anesthesia services for a patient undergoing an unspecified lower intestinal endoscopic procedure where the surgical provider introduces an endoscope into the intestines up to…	10	$100	$1.1K
64447	The provider injects one or more anesthetic agents and/or a steroid into the area of the femoral nerve, which innervates the leg and foot. Report this code for one or more injections during a single…	10	$50	$580
93313	In this procedure, the provider places a transesophageal probe in preparation for performing transesophageal echocardiography (TEE) to obtain a two–dimensional (2D) image for visualization of the…	20	$10	$180

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Utah Distribution

James Nichols — 0 of 6 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

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
00560	13	20	10	$370	$5.6K
01402	82	110	20	$240	$4.3K
00811	151	160	20	$100	$3K
00731	148	200	20	$100	$2.3K
64447	99	120	20	$50	$930
93313	6	20	20	$10	$160

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mountain West Anesthesia LLC	UT	Anesthesiology Physician	$0	$7.5M
Joseph Empey	UT	Pain Medicine (Anesthesiology) Physician	$485.5K	$12.3K
Darin Stettler	UT	Anesthesiology Physician	$214.4K	$0
Timothy Houden	UT	Pain Medicine Physician	$160.2K	$5.5K
Corey Warner	UT	Certified Registered Nurse Anesthetist	$94.4K	$0
Aaron Thornton	WI	Certified Registered Nurse Anesthetist	$80.8K	$0
Jeremy Poulsen	SD	Pain Medicine (Anesthesiology) Physician	$75.6K	$0
Christian Garaycochea	NV	Anesthesiology Physician	$10.6K	$63K
John Skaggs	UT	Critical Care Medicine (Anesthesiology) Physician	$60.9K	$0
David Debenham	UT	Anesthesiology Physician	$46.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
John Summers	UT	Anesthesiology Physician	$11.8K	$0
Barry Bergquist	UT	Anesthesiology Physician	$9.9K	$0
Raul Peragallo	UT	Anesthesiology Physician	$9.9K	$0

James Nichols — Billing Profile & Reimbursement Data

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James Nichols — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References