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

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

Adrian Fluture (NPI 1982729802)

Field	Value
Entity Type	Individual
Organization	Adrian Fluture
Address	1230 E 1st St
City	Casper
State	WY
ZIP	82601
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	March 20, 2007

Payer Source	Total Paid
Medicare	$322.1K
Medicaid	$0

Key Findings

This provider’s public-payer footprint is essentially single-payer: lifetime Medicare revenue is reported as $322.1K while Medicaid shows "none below" (no Medicaid billing on file). The precomputed concentration measure shows the top 3 Medicare codes account for 39.1% of Medicare revenue, underscoring material dependence on a small set of services for the practice’s public-payer income.

The top revenue-driving codes span outpatient E/M, noninvasive imaging, and high-acuity interventional cardiology, indicating a hybrid practice model. Notably, 99214 (526 claims, $93 avg paid/claim, $48.9K revenue) and 93306 (422 claims, $98 avg paid/claim, $41.4K revenue) reflect steady clinic and echo volumes, while 92928 (81 claims, $388 avg paid/claim, $31.4K revenue) signals active percutaneous coronary intervention capability.

Revenue concentration is substantial at the code level: 99214 (15.7%), 93306 (13.3%), and 92928 (10.1%) together represent the precomputed 39.1% share of this provider’s Medicare revenue. This mix means changes in utilization or reimbursement for these specific codes would disproportionately affect total Medicare receipts.

The provider shows above-typical national standing on several procedural cath-lab measures. 92928 ranks #238 of 5112 (95th percentile; notably above typical national volume), 93460 ranks #51 of 2166 (98th percentile; notably above typical national volume), and 93571 ranks #28 of 1953 (99th percentile; notably above typical national volume), which together point to a relatively high procedural intensity and technical proficiency in selected coronary interventions compared with peers.

By contrast, many E/M and diagnostic codes fall into typical volumes rather than outlier status, suggesting a balanced outpatient load alongside higher-acuity cases. Examples include 99215 (172 claims, $141 avg, 7.8% of Medicare revenue; ranked in the 90th percentile and described as typical) and 93306 (described as typical at the 79th percentile), indicating clinic activity is within expected peer ranges.

The provider performs advanced structural and device procedures at modest volumes: 33340 (36 claims, $590 avg paid/claim, $21.2K revenue; 71th percentile, typical) and 33361 (28 claims, $582 avg paid/claim, $16.3K revenue; 52th percentile, typical). The presence of left atrial appendage closure and transfemoral TAVR codes in the top-25 demonstrates capability for device-based structural interventions even though these are not among the highest-volume services.

Operationally, the practice’s revenue profile is sensitive to procedure mix because higher-paid procedure codes (for example 92928 at $388 avg paid/claim and 33340 at $590 avg paid/claim) materially contribute to total Medicare revenue compared with lower-paid E/M and test codes (e.g., 93000 at $11 avg paid/claim). This creates a revenue stream that is more vulnerable to fluctuations in procedural throughput than to small shifts in routine office visit volumes.

The provider’s NPI was enumerated on 2007-03-20 (~19 years ago), indicating an established tenure in the market. Combined with the mix of routine clinic visits, diagnostic imaging, and a set of relatively high national-ranking interventional codes, the profile is consistent with a long-standing cardiology practice that includes an active interventional/service line component while remaining effectively Medicare-only in the public-payer mix.

Medicare: Complete Services Breakdown

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

40 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…	530	$90	$48.9K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	420	$100	$41.4K
92928	The provider inserts a catheter through the skin (percutaneous approach) and guides it into the heart's arteries. They deploy one or more stents (small tubes) to keep the artery open and may expand a…	80	$390	$31.4K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	170	$140	$24.3K
33340	The provider implants a device that he delivers through a catheter placed through the skin under fluoroscopic guidance and across the septum to close off the left atrial appendage, uses angiography…	40	$590	$21.2K
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…	300	$70	$19.3K
33361	The provider uses a catheter to insert an aortic valve replacement through the lumen of a catheter, in a service known as TAVI or TAVR. This code is specific to inserting the valve using a…	30	$580	$16.3K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	70	$250	$16.2K
93460	The provider performs coronary angiography, an imaging study of the vessels in the heart. He inserts tubing into an artery, typically in the groin or arm, and threads it into both the left and right…	60	$250	$14.9K
A9500	Technetium tc-99m sestamibi, diagnostic, per study dose	90	$130	$11K

Showing 1–10 of 40

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 40 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wyoming Distribution

Adrian Fluture — 3 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wyoming

Full comparison — all codes billed, vs. state median

40 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93306	10	20	300	$100	$29.6K
92928	2	10	60	$390	$22.1K
33340	1	10	40	$590	$21.2K
33361	2	10	30	$570	$19.5K
A9500	8	10	90	$130	$15.8K
99214	67	780	100	$80	$14.8K
78452	12	20	70	$210	$13.7K
99233	100	110	70	$90	$11.3K
99232	129	190	90	$60	$11K
J2785	7	10	180	$40	$10.6K

Showing 1–10 of 40

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nathan Steinle	CA	Retina Specialist (Ophthalmology) Physician	$9.5M	$0
Prema Abraham	SD	Retina Specialist (Ophthalmology) Physician	$7.1M	$0
Riverton Memorial Hospital LLC	WY	Rural Acute Care Hospital	$0	$4.7M
Kyle Thompson	ID	Retina Specialist (Ophthalmology) Physician	$4.5M	$0
Douglas Holmes	WY	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
Mitchell Goff	UT	Retina Specialist (Ophthalmology) Physician	$3.8M	$0
Brittney Statler	CO	Ophthalmology Physician	$3.7M	$0
Arthur Korotkin	CO	Ophthalmology Physician	$3.7M	$0
Richard Kinsey	TN	Anatomic Pathology & Clinical Pathology Physician	$3.3M	$147.3K
Brendan Girschek	AZ	Ophthalmology Physician	$3.2M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Wyoming	WY	Federally Qualified Health Center (FQHC)	$0	$14.8M
Bear Country Home Healthcare	WY	Home Health Agency	$0	$7.8M
Wyoming Independent Living Rehabilitation, Inc.	WY	Case Management Agency	$0	$4.7M
Wyoming Medical Center Inc	WY	General Acute Care Hospital	$0	$4.4M
Emergency Medical Physicians PC	WY	Emergency Medicine Physician	$0	$4.1M
Acm Therapy Group LLC	WY	Occupational Therapist	$0	$3.6M
Emg Casper Pp LLC	WY	Assisted Living Facility	$0	$3.5M
Renewed Hope Foundation, Inc.	WY	Physical Therapist	$0	$2.6M
Optimal Physical Therapy, LLC	WY	Physical Therapy Clinic/Center	$0	$2.5M
Cedar Ridge Child And Family Counseling	WY	Clinical Psychologist	$0	$2.4M

Adrian Fluture — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References