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

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

Robert Green (NPI 1932198249)

Field	Value
Entity Type	Individual
Organization	Robert Green
Address	612 G St
City	Eureka
State	CA
ZIP	95501
Taxonomy	Plastic and Reconstructive Surgery Physician
NPI Enumerated	October 19, 2005

Payer Source	Total Paid
Medicare	$67K
Medicaid	$0

Medicare: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
12052	This CPT® code is used for the intermediate repair of wounds to the face, ears, eyelids, nose, lips and/or mucous membranes that are 2.6 to 5.0 cm in size.	60	$240	$14.2K
12032	This CPT® code is used for the intermediate repair of wounds to the scalp, axillae, trunk and/or extremities (excluding hands and feet) that are 2.6 to 7.5 cm in size.	30	$220	$7.1K
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…	90	$70	$6.7K
12051	This CPT® code is used for the intermediate repair of wounds to the face, ears, eyelids, nose, lips, and/or mucous membranes that are 2.5 cm or less in size.	30	$190	$6.4K
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	$5.5K
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…	90	$60	$5.3K
11642	The provider excises a cancerous (malignant) lesion, including margins, of 1.1 to 2.0 cm in diameter, from the skin of the face, ears, eyelids, nose, lips.	40	$120	$4.9K
11643	The provider excises a cancerous (malignant) lesion, including margins, of 2.1 to 3.0 cm in diameter, from the skin of the face, ears, eyelids, nose, lips.	40	$120	$4.9K
12053	This CPT® code is used for the intermediate repair of wounds to the face, ears, eyelids, nose, lips, and/or mucous membranes that are 5.1 to 7.5 cm in size.	10	$290	$3.8K
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…	30	$100	$2.7K

Showing 1–10 of 13

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. California Distribution

Robert Green — 0 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

13 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	31,796	37,970	120	$90	$23.2K
99215	11,719	15,360	50	$130	$14.4K
99213	16,891	34,660	80	$70	$13.2K
12032	250	570	30	$230	$9.4K
99204	8,062	19,360	40	$120	$7.2K
12052	28	120	30	$170	$7.2K
11642	18	100	20	$140	$6.2K
12031	124	140	20	$190	$4.8K
99203	2,171	12,740	30	$80	$4.6K
12051	21	90	20	$160	$4.5K

Showing 1–10 of 13

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Humboldt County Behavioral Health	CA	Community/Behavioral Health Agency	$0	$45.4M
County Of Humboldt	CA	Community/Behavioral Health Agency	$0	$39.5M
Humboldt County Behavioral Health	CA	Community/Behavioral Health Agency	$0	$37.3M
Open Door Community Health Centers	CA	Federally Qualified Health Center (FQHC)	$0	$30.1M
St. Joseph Health Northern California, LLC	CA	General Acute Care Hospital	$0	$28.7M
Open Door Community Health Centers	CA	Federally Qualified Health Center (FQHC)	$0	$25.9M
Open Door Community Health Centers	CA	Federally Qualified Health Center (FQHC)	$0	$24.4M
City Ambulance Of Eureka Inc	CA	Ambulance	$2.2M	$9.5M
Alliance Healthcare Services Inc	CA	Mobile Radiology Clinic/Center	$946.2K	$2.1M
Michael Palmer	CA	Surgery Physician	$766.5K	$0

Robert Green — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References