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

Why is the Medicaid comparison limited to New York 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. New York (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.

Gillian Goddard (NPI 1922386333)

Field	Value
Entity Type	Individual
Organization	Gillian Goddard
Address	103 E 75th St
City	New York
State	NY
ZIP	10021
Taxonomy	Endocrinology, Diabetes & Metabolism Physician
NPI Enumerated	August 2, 2011

Payer Source	Total Paid
Medicare	$97.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

31 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	310	$100	$31.6K
83970	Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function.	180	$40	$7.4K
82306	The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…	160	$30	$4.5K
82024	The lab analyst measures this analyte, also known as corticotropin, quantitatively to aid in the diagnosis of many hormone dependent conditions or diseases. This test can help determine the…	110	$40	$4.3K
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…	30	$120	$3.9K
82607	The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood.	190	$20	$2.9K
84481	The lab analyst performs a test to measure free T3 in patient blood.	160	$20	$2.7K
82746	The lab analyst measures the folic acid level in serum to determine if there is a deficiency. Folic acid deficiency is attributed to many conditions such as malabsorption, Crohn’s disease, celiac…	190	$10	$2.7K
80061	The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.	200	$10	$2.6K
84681	The lab analyst performs the technical lab test to measure C–peptide, which is a byproduct of insulin that the pancreas produces.	130	$20	$2.6K

Showing 1–10 of 31

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 31 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New York Distribution

Gillian Goddard — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. state median

31 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	5,658	30,450	90	$100	$19K
95923	150	180	40	$110	$12.1K
82306	222	1,030	60	$30	$10.9K
84481	41	150	50	$20	$10.7K
83970	69	300	40	$40	$10.1K
84681	18	30	320	$20	$10.1K
82024	7	10	110	$40	$9.2K
84443	520	1,510	90	$20	$7.9K
80061	461	1,460	120	$10	$7.3K
80053	630	1,970	120	$10	$6.9K

Showing 1–10 of 31

Gillian Goddard — Billing Profile & Reimbursement Data

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Gillian Goddard — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References