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

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

Joshua Pope (NPI 1992118129)

Field	Value
Entity Type	Individual
Organization	Joshua Pope
Address	7067 Veterans Pkwy
City	Pell City
State	AL
ZIP	35125
Taxonomy	Family Nurse Practitioner
NPI Enumerated	June 5, 2014

Payer Source	Total Paid
Medicare	$75.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	480	$70	$32.3K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	370	$50	$19.2K
99350	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…	100	$90	$9.1K
99348	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…	200	$40	$7.5K
99344	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider spends at least…	50	$80	$4.2K
99345	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends at least 75…	20	$100	$2.3K
G0180	Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review…	30	$20	$630
G0179	Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and…	10	$10	$160

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Alabama Distribution

Joshua Pope — 1 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99350	16	50	60	$100	$13.5K
99349	9	110	70	$80	$12.4K
99497	4	420	50	$70	$4.6K
99345	10	20	20	$120	$4.1K
99348	6	90	60	$50	$3.8K
99344	7	50	20	$90	$2.8K
G0179	250	260	30	$30	$1K
G0180	129	520	20	$40	$1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Julie Hassett	FL	Family Nurse Practitioner	$1.1M	$0
John Abrams	AL	Internal Medicine Physician	$198.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pediatric Dental Associates, LLC	AL	Pediatric Dentistry	$0	$5.5M
The Children's Hospital Of Alabama	AL	Pediatrics Physician	$0	$4.6M
St. Vincent's St. Clair, LLC	AL	General Acute Care Hospital	$0	$2.4M
Main Street Clinic, LLC	AL	Pediatrics Physician	$0	$2M
Leaps Academy Inc	AL	Pediatric Occupational Therapist	$0	$1.8M
St Clair County Health Dept-pell City Fp Clinic	AL	Public Health or Welfare Agency	$0	$1.5M
Alabama Anesthesiology And Pain Consultants P.C.	AL	Anesthesiology Physician	$0	$1.1M
Inri Medical Associates, PC	AL	Family Medicine Physician	$0	$1M
Rutwij Jotani	AL	Family Medicine Physician	$155.4K	$0
Carl Russell	AL	Family Medicine Physician	$136.4K	$0

Joshua Pope — Billing Profile & Reimbursement Data

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Joshua Pope — 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