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

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

David Johnson (NPI 1952389306)

Field	Value
Entity Type	Individual
Organization	David Johnson
Address	40520 County Highway 34
City	Ogema
State	MN
ZIP	56569
Taxonomy	Internal Medicine Physician
NPI Enumerated	January 5, 2006

Payer Source	Total Paid
Medicare	$26.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

9 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…	160	$90	$14.2K
Q3014	Telehealth originating site facility fee	210	$20	$4.3K
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…	50	$60	$3.2K
99442	N/A	30	$50	$1.4K
90662	This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…	20	$60	$990
G0008	Administration of influenza virus vaccine	30	$30	$810
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	90	$10	$730
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.	60	$10	$600
80048	The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…	20	$10	$140

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Minnesota Distribution

David Johnson — 0 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,923	10,100	70	$80	$8.1K
90662	643	940	30	$70	$5K
99213	4,204	9,120	50	$50	$4K
G0008	1,150	2,300	30	$30	$2.2K
Q3014	3	20	60	$20	$1.9K
36415	1,587	3,480	80	$10	$1.5K
99442	115	420	20	$60	$1.4K
80053	402	1,210	40	$10	$1.2K
80048	1,181	1,440	40	$10	$880

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laura Veal	NM	Speech-Language Pathologist	$0	$31M
White Earth Indian Health Center	MN	Federal Public Health Clinic/Center	$0	$24.3M
First Nations Community Health Source, Inc.	NM	Clinic/Center	$0	$15.4M
Albuquerque Indian Health Center	NM	Clinic/Center	$0	$6.6M
David August	AZ	Diagnostic Radiology Physician	$430.2K	$0
Kevin Hamm	KS	Diagnostic Radiology Physician	$275.4K	$66.6K
Jeremy Fullingim	OK	Diagnostic Radiology Physician	$220.1K	$0
John Walton	OK	Diagnostic Radiology Physician	$155K	$0
Brooke White	OK	Diagnostic Radiology Physician	$150.4K	$0
Timothy Mccay	OK	Diagnostic Radiology Physician	$146.9K	$0

David Johnson — Billing Profile & Reimbursement Data

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David Johnson — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References