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.

Richard Jackson (NPI 1932427218)

Field	Value
Entity Type	Individual
Organization	Richard Jackson
Address	102 Park St
City	Glens Falls
State	NY
ZIP	12801
Taxonomy	Neurology Physician
NPI Enumerated	May 11, 2010

Payer Source	Total Paid
Medicare	$44.6K
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
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…	150	$90	$13.2K
G0425	Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth	180	$70	$12.7K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	120	$100	$11.8K
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…	20	$140	$2.3K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	20	$60	$1.2K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	30	$40	$1.2K
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…	20	$60	$1.2K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	10	$90	$1.1K

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. New York Distribution

Richard Jackson — 0 of 8 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

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	2,767	8,640	80	$100	$15.8K
99232	10,818	11,850	80	$70	$13.8K
G0425	6	30	30	$70	$11.1K
99223	6,950	8,650	40	$150	$9.3K
99239	3,184	3,460	50	$100	$7.1K
99222	658	7,870	30	$110	$5.9K
99231	2,128	3,700	40	$40	$3.3K
99221	818	1,650	20	$70	$2.6K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rochester General Hospital	NY	General Acute Care Hospital	$0	$226.8M
Ellis Hospital	NY	General Acute Care Hospital	$0	$82.3M
Albany Medical Center Hospital	NY	General Acute Care Hospital	$0	$79.8M
Mvhs Inc	NY	General Acute Care Hospital	$0	$77.8M
Cumberland County Hospital System Inc	NC	General Acute Care Hospital	$0	$75.8M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Glens Falls Hospital Inc	NY	General Acute Care Hospital	$0	$48.9M
White Plains Hospital Medical Center	NY	General Acute Care Hospital	$0	$47.6M
Ascension Medical Group-southeast Wisconsin Inc	WI	Internal Medicine Physician	$0	$44.8M
Kentuckyone Health Medical Group, Inc.	KY	Family Medicine Physician	$0	$38.9M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pediatric Dentistry	NY	Pediatric Dentistry	$0	$19M
Northern Ec LLC	NY	Ambulatory Surgical Clinic/Center	$326.3K	$1.1M
Alex Frank	NY	Radiation Oncology Physician	$181.5K	$0
Ben Taylor	NY	Radiation Oncology Physician	$169.3K	$0
Geoffrey Hill	NY	Vascular & Interventional Radiology Physician	$120.2K	$130
Elissa Waskiewicz	NY	Family Nurse Practitioner	$103K	$950
Eric Gold	NY	Physician Assistant	$98.8K	$0
Tamekea Bevas	NY	Clinical Social Worker	$94.5K	$0
Juan Garcia	NY	Plastic and Reconstructive Surgery Physician	$78.5K	$0
William Bauer	NY	Gastroenterology Physician	$69.1K	$0

Richard Jackson — Billing Profile & Reimbursement Data

Sign up for Richard Jackson — Billing Profile & Reimbursement Data policy alerts

Richard Jackson — Billing Profile & Reimbursement Data

Sign up for Richard Jackson — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References