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

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

Luke Spencer-gardner (NPI 1922328038)

Field	Value
Entity Type	Individual
Organization	Luke Spencer-gardner
Address	4500 San Pablo Rd S
City	Jacksonville
State	FL
ZIP	32224
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	June 11, 2010

Payer Source	Total Paid
Medicare	$192.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
27130	In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…	130	$1,040	$136.1K
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…	280	$60	$16.8K
27299	Use 27299 to report a pelvis or hip joint procedure that does not have a specific code.	20	$660	$11.9K
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…	130	$80	$9.9K
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…	90	$90	$7.2K
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…	50	$120	$6.3K
20611	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…	60	$70	$4.4K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	240	$1	$240

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

Luke Spencer-gardner — 1 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27130	20	590	30	$1,150	$43.6K
99214	20,120	32,760	140	$90	$25K
99213	5,979	30,010	80	$60	$12K
27299	3	10	20	$340	$9.5K
20611	285	620	60	$80	$9K
99204	7,161	19,040	40	$110	$7K
99203	1,289	11,720	40	$70	$4.4K
J3301	1,103	2,810	150	$1	$460

Related Providers

Other providers that share a Tax Identification Number (TIN) with Luke Spencer-gardner, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baylor University Medical Center	TX	General Acute Care Hospital	$0	$14.7M
Mayo Clinic Jacksonville	FL	Clinical Medical Laboratory	$9.3M	$105.3K
Robyn Olney	TX	Anatomic Pathology & Clinical Pathology Physician	$7.7M	$0
Emanuela Berari	TX	Family Nurse Practitioner	$2.8M	$0
Jeremy Jones	FL	Hematology & Oncology Physician	$2.3M	$0
Winston Tan	FL	Hematology & Oncology Physician	$1.8M	$0
Ernesto Ayala	FL	Hematology (Internal Medicine) Physician	$1.7M	$0
Jason Young	FL	Diagnostic Radiology Physician	$1.7M	$0
Steven Attia	FL	Hematology & Oncology Physician	$1.6M	$0
Michael Stewart	FL	Ophthalmology Physician	$1.5M	$0

Nearby Providers

Other providers in the same ZIP code as Luke Spencer-gardner, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Centurion Surgery Center Of Jacksonville, LLC	FL	Ambulatory Surgical Clinic/Center	$2.1M	$0
Ephraim Parent	FL	Nuclear Medicine Physician	$1.5M	$0
Surgery Center Operations, LLC	FL	Ambulatory Surgical Clinic/Center	$1.5M	$0
Sikander Ailawadhi	FL	Hematology & Oncology Physician	$1.4M	$0
Akash Sharma	FL	Diagnostic Radiology Physician	$1.4M	$0
Vivek Roy	FL	Hematology & Oncology Physician	$1.4M	$0
Muhamad Alhaj Moustafa	FL	Hematology & Oncology Physician	$1.4M	$0
Umair Majeed	FL	Hematology & Oncology Physician	$1.3M	$0
Joseph Accurso	FL	Diagnostic Radiology Physician	$1.3M	$0
Hani Babiker	FL	Hematology & Oncology Physician	$1.3M	$0

Luke Spencer-gardner — 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