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

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

Travis County Emergency Physicians PA (NPI 1962440933)

Travis County Emergency Physicians PA is a emergency medicine physician provider located in Austin, Texas. This profile covers 0 Medicare and 12 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Travis County Emergency Physicians PA
Address	1201 W 38th St
City	Austin
State	TX
ZIP	78705
Taxonomy	Emergency Medicine Physician
NPI Enumerated	June 3, 2006

Payer Source	Total Paid
Medicaid	$47.3M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	349,220	$70	$25.8M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	137,930	$70	$10.2M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	203,750	$50	$9.4M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	13,840	$120	$1.6M
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	74,390	$1	$223.2K
99292	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	100	$80	$7.5K
99281	The provider sees a patient for the lowest level emergency department visit.	230	$20	$4.1K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	90	$40	$3.2K
12001	This CPT code is used for the simple repair of superficial wounds to the scalp, neck, axillae, external genitalia, trunk, and/or extremities (including the hands and feet) that are 2.5 cm or less in…	10	$30	$430
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	370	$1	$370

Showing 1–10 of 12

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.

Claims Volume vs. Texas Distribution

Travis County Emergency Physicians PA — 5 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	1	710	1,790	$200	$2.1M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	1	730	1,960	$100	$1M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	3	590	740	$170	$969.2K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	262	370	360	$120	$279.5K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	5	280	190	$130	$148.6K
99281	The provider sees a patient for the lowest level emergency department visit.	59	150	140	$100	$97.1K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	349	550	970	$10	$82K
99292	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	11	20	90	$90	$23.5K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	5	490	470	$1	$17.5K
12001	This CPT code is used for the simple repair of superficial wounds to the scalp, neck, axillae, external genitalia, trunk, and/or extremities (including the hands and feet) that are 2.5 cm or less in…	4	10	20	$170	$11.6K

Showing 1–10 of 12

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Michael Glassinger	LA	Emergency Medicine Physician	$1.5M	$0
Mustafa Hindi	IL	Emergency Medicine Physician	$107.8K	$744.8K
Christopher Durham	TX	Vascular Surgery Physician	$495.7K	$0
Edward Lucas	FL	Emergency Medicine Physician	$165K	$257.3K
Jody Gerard	CT	Family Medicine Physician	$378.2K	$0
Phillip Glasgow	AR	Family Medicine Physician	$267.9K	$0
Michael Nguyen	TX	Emergency Medicine Physician	$161.3K	$0
Brad Rahaman	NJ	Emergency Medicine Physician	$145.6K	$14.8K
Chirag Patel	SD	Internal Medicine Physician	$141.6K	$0
Jessica Baxley	NC	Emergency Medicine Physician	$134.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Longhorn Emergency Medical Associates PA	TX	Emergency Medicine Physician	$0	$16.1M
Peter Nixon	TX	Ophthalmology Physician	$5.1M	$0
Jose Martinez	TX	Ophthalmology Physician	$3.8M	$0
Robert Wong	TX	Ophthalmology Physician	$3.1M	$0
James Dooner	TX	Ophthalmology Physician	$2.9M	$0
Shelley Ghafoori	TX	Ophthalmology Physician	$2.8M	$0
Philip Storey	TX	Ophthalmology Physician	$2.8M	$0
Ryan Young	TX	Ophthalmology Physician	$2.7M	$0
Mark Levitan	TX	Ophthalmology Physician	$2.5M	$0
Richard Garza	TX	Radiation Oncology Physician	$2.5M	$0

Travis County Emergency Physicians PA — Billing Profile & Reimbursement Data

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Travis County Emergency Physicians PA — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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