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

Why is the Medicaid comparison limited to West Virginia 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. West Virginia (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.

John Conner (NPI 1932125762)

Field	Value
Entity Type	Individual
Organization	John Conner
Address	800 Grand Central Mall
City	Vienna
State	WV
ZIP	26105
Taxonomy	Family Medicine Physician
NPI Enumerated	July 14, 2006

Payer Source	Total Paid
Medicare	$380.9K
Medicaid	$0

Key Findings

Provider JOHN CONNER has a single‑payer footprint in the available data: lifetime Medicare revenue is $380.9K and there is no Medicaid billing on file. This makes the provider effectively Medicare‑only in the claims observed, indicating limited or no exposure to state Medicaid programs in the dataset provided.

The provider has been enumerated for approximately two decades, with NPI registration on 2006-07-14 (~20 years ago). That tenure is consistent with an established outpatient practice that has had time to build recurring Medicare billing patterns and test-ordering workflows.

Revenue concentration is notable: the precomputed top 3 Medicare codes account for 31.5% of total Medicare revenue. Those top drivers are 99214 (624 claims, $42.4K revenue, 11.9%), 36415 (4.7K claims, $37.8K revenue, 10.6%), and 84443 (2K claims, $32.3K revenue, 9.0%), which together point to a small set of services producing a large share of Medicare receipts.

The code mix shows a primary‑care, lab‑intensive operations profile: 99214 indicates mid‑level established patient E&M visits while 36415 plus multiple chemistry and hematology panels (84443, 80061, 80053, 85025, 82306, 83036, 82728 and others) reflect very high volumes of blood draws and ordered laboratory testing. High counts such as 4.7K claims for 36415 and thousands of claims across CMP, CBC, TSH and lipid panels suggest routine diagnostic monitoring and chronic disease management as central service lines.

Competitive standing is mixed by service line: for traditional office E&M, 99214 ranks #32987 of 479517 providers nationally (93th percentile) and is described as "typical, unremarkable volume for this code," indicating the provider’s E&M volume is within common national patterns. By contrast, several lab codes rank very high nationally — for example, 36415 ranks #359 of 86467 providers (100th percentile; typical, unremarkable volume for this code), 84443 ranks #364 of 19722 (98th percentile), and 80061 ranks #362 of 21671 (98th percentile) — collectively signifying above‑peer lab testing volume relative to national comparators.

Preventive and care‑transition services appear in the mix: G0439 (Annual wellness visit) contributes $22.8K (6.4% of Medicare revenue) with 185 claims and ranks #13571 of 105855 providers nationally (87th percentile; typical, unremarkable volume for this code), while 99495 (transitional care management) appears with 31 claims and $4.2K revenue. These entries suggest the practice engages in annual preventive visits and performs some post‑discharge transition work, supporting a continuity‑of‑care model for Medicare patients.

At $380.9K total Medicare revenue and the observed code-level distribution, the provider operates at a modest overall revenue scale relative to national provider populations, but with disproportionate reliance on lab collection and testing as a revenue engine. The combination of a long tenure (2006-07-14), concentrated top‑code revenue (31.5% from the top 3 codes), and high national percentiles on multiple lab codes suggests the practice’s competitive differentiation is its lab testing volume rather than unusually high E&M throughput.

Medicare: Complete Services Breakdown

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

54 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…	620	$70	$42.4K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	4,730	$10	$37.8K
84443	The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…	2,020	$20	$32.3K
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.	2,140	$10	$27.9K
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…	910	$30	$26.5K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	2,640	$10	$26.4K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	3,160	$10	$25.2K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	190	$120	$22.8K
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.	430	$40	$17.1K
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	1,350	$10	$12.2K

Showing 1–10 of 54

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 54 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. West Virginia Distribution

John Conner — 17 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. state median

54 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
83970	2	10	250	$40	$11.9K
99214	104	2,740	100	$70	$11.8K
G0439	47	560	60	$120	$9.3K
99213	884	2,860	80	$50	$7.5K
82306	2	40	40	$30	$6.1K
84443	2	60	70	$20	$4.7K
90694	172	230	40	$70	$4.5K
80053	3	70	100	$10	$4.3K
80061	3	60	60	$10	$4.3K
0241U	1	20	20	$140	$3.8K

Showing 1–10 of 54

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ohiohealth Corporation	OH	Family Medicine Physician	$0	$89.1M
Camden Clark Memorial Hospital Corporation	WV	General Acute Care Hospital	$0	$56.2M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Camden-clark Physician Corporation	WV	Surgery Physician	$0	$19.8M
Marion Area Physicians LLC	OH	Internal Medicine Physician	$0	$15.7M
Camden Clark Memorial Hospital Corporation	WV	Land Ambulance	$874.9K	$5.3M
Samir Elian	MI	Interventional Cardiology Physician	$374.5K	$0
Seyoum Bage	WV	Infectious Disease Physician	$101.1K	$269.8K
David Gnegy	WV	Cardiovascular Disease Physician	$212K	$0
Bairava Kuppuswamy	WV	Internal Medicine Physician	$208.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wv Asthma And Allergy Centers, Inc.	WV	Allergy & Immunology Physician	$0	$1.8M
Prakash Patel	WV	Pediatrics Physician	$0	$1.1M
Mid-ohio Valley Nephrology Association	WV	Nephrology Physician	$0	$919.4K
Parkersburg Infectious Disease PLLC	WV	Infectious Disease Physician	$0	$802.2K
Zane Lazer	WV	Ophthalmology Physician	$506.4K	$0
David George	WV	Ophthalmology Physician	$451K	$0
Barrett Louden	WV	Dermatology Physician	$259.2K	$0
Mirza Hamirani	WV	Nephrology Physician	$245.5K	$0
Karyn Plotz	WV	Physical Therapist	$172.8K	$0
Janelle King	WV	Dermatology Physician	$167.3K	$0

John Conner — 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

Nearby Providers

Frequently Asked Questions

References