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.

Seth Crislip (NPI 1942462999)

Seth Crislip is a anesthesiology physician provider located in Charleston, West Virginia. This profile covers 10 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Provider details (source: NPPES NPI Registry)

Medicare: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Seth Crislip
Address	3508 Staunton Ave Se
City	Charleston
State	WV
ZIP	25304
Taxonomy	Anesthesiology Physician
NPI Enumerated	July 1, 2008

Payer Source	Total Paid
Medicare	$21.9K
Medicaid	$0

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
00567	The provider performs anesthesia services for a patient undergoing a coronary artery bypass graft procedure. The procedure requires a pump oxygenator to take on the work of the heart and lungs.	20	$350	$6.2K
00790	The provider performs anesthesia services for a patient undergoing intraperitoneal procedures in the upper abdomen, including laparoscopy, which are not specified by any other anesthesia code.	30	$140	$3.5K
00731	The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…	50	$60	$2.7K
36620	In this procedure, the provider inserts a catheter percutaneously (through the skin) into an artery and uses this catheter for the purpose of sampling, transfusion, or continuous real–time blood…	60	$40	$2.1K
01922	The provider performs anesthesia services for a patient undergoing non–invasive imaging or radiation therapy.	20	$80	$1.6K
00840	The provider performs anesthesia services for a patient undergoing intraperitoneal procedures in the lower abdomen, including laparoscopy, which are not specified by any other anesthesia code.	20	$100	$1.5K
00811	The provider performs anesthesia services for a patient undergoing an unspecified lower intestinal endoscopic procedure where the surgical provider introduces an endoscope into the intestines up to…	30	$50	$1.5K
93503	The provider performs Swan–Ganz® catheterization for the direct assessment of pressure in the pulmonary artery, right atrium, right ventricle, as well as the wedge pressure of the left atrium…	20	$70	$1.3K
00910	The provider performs anesthesia services for a patient undergoing transurethral procedures including urethrocystoscopy. The surgical provider may examine the organs of the urinary system from within…	20	$50	$710
00400	The provider performs anesthesia services for a patient undergoing any procedure on the integumentary system on the extremities, anterior trunk and perineum, not otherwise specified.	10	$50	$560

Seth Crislip — 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

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
00567	4	10	20	$360	$6.5K
00790	8	50	10	$150	$2.6K
00840	12	30	20	$140	$2.2K
00731	42	290	20	$70	$2.2K
00811	78	240	20	$60	$2.1K
93503	4	10	20	$70	$1.7K
01922	10	50	20	$80	$1.4K
00910	48	90	20	$50	$1.1K
00400	32	40	10	$60	$920
36620	3	60	20	$30	$830