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

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

James Monarch (NPI 1962542324)

Field	Value
Entity Type	Individual
Organization	James Monarch
Address	4305 New Shepherdsville Rd
City	Bardstown
State	KY
ZIP	40004
Taxonomy	Anesthesiology Physician
NPI Enumerated	February 7, 2007

Payer Source	Total Paid
Medicare	$14.2K
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
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…	60	$60	$3.2K
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.	20	$130	$2.7K
00520	The provider performs anesthesia services for a patient undergoing closed chest procedures including bronchoscopy, which means viewing the windpipe for investigation. This code includes procedures…	40	$70	$2.7K
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…	20	$50	$1.2K
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	$1.1K
01922	The provider performs anesthesia services for a patient undergoing non–invasive imaging or radiation therapy.	20	$70	$1.1K
00813	The anesthesia provider performs anesthesia services for a patient undergoing both upper and lower intestinal endoscopy where the surgical provider introduces an endoscope into the intestines above…	20	$60	$1K
00530	The provider performs anesthesia services for a patient undergoing the procedure of permanent transvenous pacemaker insertion in which another provider inserts a device via a blood vessel in the neck…	10	$80	$900
64447	The provider injects one or more anesthetic agents and/or a steroid into the area of the femoral nerve, which innervates the leg and foot. Report this code for one or more injections during a single…	10	$50	$500

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. Kentucky Distribution

James Monarch — 0 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
00811	245	550	20	$80	$2.9K
00813	178	330	20	$100	$2.4K
00731	54	720	20	$80	$2.3K
00790	12	80	10	$160	$2.3K
00520	8	50	20	$90	$2K
01922	24	60	10	$100	$1.8K
00530	4	10	10	$130	$1.7K
00910	31	120	20	$70	$1.5K
64447	124	140	20	$40	$1.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Norton - Kings Daughters Health Inc	IN	Family Medicine Physician	$0	$11.8M
Norton - Kings Daughters Health, Inc	IN	General Acute Care Hospital	$0	$8.9M
Ryan Malone	IN	Urology Physician	$784.5K	$0
Charles Goodwin	IN	Urology Physician	$596.2K	$0
John Eifler	IN	Urology Physician	$427.6K	$0
Dennis Smith	IN	Urology Physician	$408.6K	$0
David Rosenbaum	IN	Urology Physician	$401.3K	$0
Richard Medley	IN	Urology Physician	$400.9K	$0
Trevor Soergel	IN	Urology Physician	$380.8K	$0
Daniel Kmetz	IN	Urology Physician	$375.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Almcare, LLC	KY	Developmentally Disabled Services Day Training Agency	$0	$31M
Flaget Healthcare, Inc	KY	General Acute Care Hospital	$0	$26.5M
Bardstown Primary Care, PLLC	KY	Rural Health Clinic/Center	$0	$11.7M
Active Day Ky, Inc.	KY	Adult Day Care Clinic/Center	$0	$7.7M
County Of Nelson	KY	Land Ambulance	$798.9K	$1.3M
James Ferrara	KY	Occupational Therapist	$345.2K	$0
Sanjiv Mehta	KY	Orthopaedic Surgery Physician	$262.9K	$0
Kelli Morgan	KY	Dermatology Physician	$185.6K	$0
Andrea Stucker	KY	Physician Assistant	$134.8K	$0
C & G Pharmacy LLC.	KY	Community/Retail Pharmacy	$96.7K	$0

James Monarch — Billing Profile & Reimbursement Data

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James Monarch — 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

Nearby Providers

Frequently Asked Questions

References