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

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

Adam Mason (NPI 1902824287)

Field	Value
Entity Type	Individual
Organization	Adam Mason
Address	3841 Piper Street
City	Anchorage
State	AK
ZIP	99508
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	July 17, 2006

Payer Source	Total Paid
Medicare	$374.7K
Medicaid	$0

Key Findings

This provider’s billing is effectively single‑payer: total Medicare revenue is $374.7K and there is no Medicaid billing on file, so Medicare accounts for the entire recorded public‑payer footprint. Analysts should treat this profile as Medicare‑centric when evaluating payer mix and access to low‑income populations in Alaska.

Revenue is highly concentrated in a small set of imaging and echo services: the precomputed top 3 Medicare codes by revenue account for 54.8% of this provider’s total Medicare revenue, led by 78492 ($91.3K, 24.5%), A9555 ($56.8K, 15.3%), and 93306 ($55.8K, 15.0%). This concentration signals that a majority of Medicare dollars flow from a few diagnostic imaging and echocardiography services rather than a broad mix of procedural or chronic‑care codes.

The code mix and top codes point to an imaging‑focused cardiovascular practice. High revenue from 78492 (myocardial perfusion PET), A9555 (rubidium tracer per study dose), and 93306 (complete transthoracic echocardiography) indicates the provider performs advanced cardiac imaging and stress studies, supplemented by office E/M visits (99214) and inpatient E/M codes, consistent with a clinician who combines diagnostic testing with ambulatory and hospital care.

Competitive standing varies by service line: 93306 ranks in the 90th percentile nationally and 99214 in the 89th percentile, showing above‑typical national volume for echocardiography and established outpatient visits, while leading nuclear imaging codes 78492 and A9555 sit near the mid‑pack at the 54th and 55th percentiles. In practical terms, this provider is a strong echocardiography and clinic performer relative to peers but a more modest participant in PET/radiotracer nuclear imaging compared with national specialists.

The provider maintains both outpatient and inpatient activity but with different intensity: inpatient/hospital E/M codes (99232, 99223, 99233) appear in the top‑25 but contribute smaller individual revenue lines (for example 99232 at $11K and 99223 at $10.3K), suggesting episodic inpatient care or consults supporting the imaging practice rather than hospital services being the primary revenue center. Office E/M and diagnostic interpretations (e.g., 93010 at $7.9K) represent substantial volume components that support continuity of outpatient cardiovascular care.

Absence of Medicaid billing is notable: there are no Medicaid codes on file, so the provider has a negligible recorded presence in the state Medicaid program. For payers and network planners, this indicates either non‑participation in Medicaid, lack of credentialing, or a patient panel with limited Medicaid enrollment and should be verified before attributing access or coverage responsibility.

The provider has long tenure: NPI enumerated on 2006-07-17 (~20 years ago), which indicates an established practice history in Anchorage. Despite this longevity, lifetime Medicare revenue of $374.7K remains modest in absolute terms, implying a small to mid‑size practice footprint or focused service mix rather than a high‑volume multispecialty center.

Several services show low national rank percentiles and a mix of described statistical labels: certain procedures like 71275 (rank in the 3rd percentile), 71271 (0th percentile), 92960 (5th percentile), and 99239 (5th percentile) register as relatively uncommon in this provider’s mix, while many top codes are described as "typical, unremarkable volume" for their national peers. This pattern reinforces that the practice is specialized around particular imaging and echo services while other cardiology or thoracic procedures are infrequent and not central to the revenue base.

Medicare: Complete Services Breakdown

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

32 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
78492	In this diagnostic procedure, the provider performs a myocardial perfusion PET imaging study which means it reveals the flow of oxygenated blood to the heart muscles. The service also includes…	70	$1,290	$91.3K
A9555	Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries	140	$410	$56.8K
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…	580	$100	$55.8K
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…	480	$120	$55.5K
J2785	Injection, regadenoson, 0.1 mg	420	$40	$17.9K
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…	40	$370	$15.7K
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…	130	$80	$11K
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	$180	$10.3K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	70	$120	$8.4K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	990	$10	$7.9K

Showing 1–10 of 32

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 32 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Alaska Distribution

Adam Mason — 1 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alaska

Full comparison — all codes billed, vs. state median

32 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
78492	7	10	80	$1,260	$95.8K
A9555	7	10	160	$400	$60.2K
93306	3	40	390	$100	$31.2K
99233	100	190	80	$120	$17.1K
J2785	5	10	400	$40	$17K
99214	69	1,210	90	$100	$16.2K
78452	11	20	40	$240	$15.7K
99232	90	280	80	$80	$14K
99215	316	400	40	$150	$11K
A9500	5	10	80	$90	$10.6K

Showing 1–10 of 32

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Providence Health & Services Washington	AK	General Acute Care Hospital	$0	$161.5M
South Peninsula Hospital, Inc	AK	Critical Access Hospital	$0	$30.1M
Providence Health & Services Washington	AK	Critical Access Hospital	$0	$11.4M
Alaska Heart Institute	AK	Cardiovascular Disease Physician	$0	$3.5M
Providence Health & Services Washington	AK	General Acute Care Hospital	$0	$2.8M
South Peninsula Hospital, Inc.	AK	Critical Access Hospital	$0	$2.7M
Alaska Heart Institute	AK	Ambulatory Surgical Clinic/Center	$1.1M	$0
Peter Ehrnstrom	AK	MOHS-Micrographic Surgery Physician	$642.7K	$0
Ahmed Abuzaid	AK	Cardiovascular Disease Physician	$544.1K	$0
Nadine Baker	AK	Psychologist	$523.2K	$0

Adam Mason — Billing Profile & Reimbursement Data

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Adam Mason — 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

Frequently Asked Questions

References