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

Why is the Medicaid comparison limited to Ohio 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. Ohio (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 Proctor (NPI 1891971461)

Field	Value
Entity Type	Individual
Organization	Andrew Proctor
Address	18901 Lake Shore Blvd
City	Euclid
State	OH
ZIP	44119
Taxonomy	Physician Assistant
NPI Enumerated	January 14, 2008

Payer Source	Total Paid
Medicare	$37.8K
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
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…	630	$40	$23.8K
20550	Aponeurosis is an abnormal sheet like extension of the tendon. Injection of a tendon or ligament is the medical therapeutic procedure to reduce the aponeurosis formation.	280	$20	$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…	60	$40	$2.6K
20600	In this procedure, the provider inserts a needle through the skin of a patient and into a small joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	130	$20	$2.6K
20526	The provider injects medication into the carpal tunnel to provide short term relief of symptoms of carpal tunnel syndrome, or CTS. CTS is a condition where the patient experiences pain, numbness, and…	50	$40	$1.6K
20605	In this procedure, the provider inserts a needle through the skin of a patient and into an intermediate joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may…	30	$20	$660
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	30	$20	$580

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. Ohio Distribution

Andrew Proctor — 3 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	421	20,000	70	$50	$6.6K
99203	1,272	6,380	30	$60	$2.9K
99212	2,249	4,100	30	$30	$1.7K
20550	2	370	30	$30	$1.6K
20526	7	60	20	$60	$1.6K
20600	12	230	30	$30	$1.3K
20605	64	190	20	$30	$1.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cleveland Clinic Health System - East Region	OH	General Acute Care Hospital	$0	$40.6M
Cleveland Clinic Health System - East Region	OH	General Acute Care Hospital	$0	$32.8M
Cleveland Clinic Health System - East Region	OH	General Acute Care Hospital	$0	$31.5M
Artan Kaso	MN	Internal Medicine Physician	$850.6K	$0
Clinic Medical Services Company	OH	Diagnostic Radiology Physician	$410.1K	$0
Christopher Mitchell	OH	Physician Assistant	$290K	$0
Udit Agarwal	ND	Cardiovascular Disease Physician	$174.4K	$0
Umar Rashid	NY	Interventional Cardiology Physician	$90.3K	$0
Grant Pierson	MO	Pulmonary Disease Physician	$84.2K	$0
Daniel Hurst	MT	Emergency Medicine Physician	$67K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eli Fink	OH	Physical Medicine & Rehabilitation Physician	$199.1K	$0
Yasemin Sozeri	OH	Ophthalmology Physician	$124.1K	$0
Erin Sibben Stewart	OH	Family Nurse Practitioner	$71.7K	$0
Michael Cunningham	OH	Cardiovascular Disease Physician	$56.3K	$0
Deidra Bobincheck	OH	Adult Health Nurse Practitioner	$46K	$0
Daniel Fial	OH	Acute Care Nurse Practitioner	$38.2K	$0

Andrew Proctor — Billing Profile & Reimbursement Data

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Andrew Proctor — 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