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

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

John Ader (NPI 1992789564)

Field	Value
Entity Type	Individual
Organization	John Ader
Address	784 S Clearwater Loop Ste B
City	Post Falls
State	ID
ZIP	83854
Taxonomy	Rheumatology Physician
NPI Enumerated	December 6, 2005

Payer Source	Total Paid
Medicare	$92.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0897	Injection, denosumab, 1 mg	2,460	$20	$44.3K
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…	500	$80	$39.7K
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…	80	$50	$4.1K
99204	The provider sees a new 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 provider…	30	$90	$2.3K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	50	$10	$470
73120	X–rays of the extremities have been performed to assess injury, fracture, arthritis, bone spurs, tumors, or congenital abnormalities. Extremity X–rays include the hand, wrist, arm, foot, ankle, hip,…	20	$20	$290

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Idaho Distribution

John Ader — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0897	15	30	2,580	$20	$76.2K
99214	135	2,690	90	$70	$10.4K
99213	1,323	2,770	70	$50	$5.7K
99204	656	1,180	30	$100	$4.2K
96372	101	220	40	$10	$590
73120	6	10	20	$10	$270

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gundersen Lutheran Medical Center Inc	WI	General Acute Care Hospital	$0	$74.3M
St Lukes Clinic-treasure Valley LLC	ID	Family Medicine Physician	$0	$59.2M
Campbell Clinic, PC	TN	Orthopaedic Surgery Physician	$0	$28M
Mercy Health System Corporation	WI	Multi-Specialty Clinic/Center	$0	$13.2M
Youth And Shelter Services, Inc.	IA	Counselor	$0	$11.4M
Gundersen Clinic Ltd	WI	Clinic/Center	$0	$10.1M
Southern Idaho Health Partners LLC	ID	General Practice Physician	$0	$9.2M
Moundview Memorial Hospital & Clinics, Inc	WI	Critical Access Hospital	$0	$8.9M
Palmer Lutheran Health Center, Inc	IA	Rural Health Clinic/Center	$0	$6M
Memorial Hospital Of Boscobel	WI	Critical Access Hospital	$0	$5.4M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dirne Health Centers, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$6.3M
Kootenai County	ID	Local Education Agency (LEA)	$0	$5.2M
Learning Garden Developmental Preschool	ID	Developmentally Disabled Services Day Training Agency	$0	$3.1M
Danko Martincic	ID	Hematology & Oncology Physician	$2.6M	$0
Aaging Better In-home Care, LLC	ID	Home Health Agency	$0	$2.4M
Little Smiles Pediatric Dentistry PC	ID	Pediatric Dentistry	$0	$2.2M
North Idaho Day Surgery LLC	ID	General Acute Care Hospital	$0	$1.2M
Pleasant View Surgery Center, LLC	ID	Ambulatory Surgical Clinic/Center	$1M	$0
Corbin Jacobs	ID	Radiation Oncology Physician	$915.1K	$0
Tandy Therapy LLC	ID	Speech-Language Pathologist	$0	$780.1K

John Ader — Billing Profile & Reimbursement Data

Sign up for John Ader — Billing Profile & Reimbursement Data policy alerts

John Ader — Billing Profile & Reimbursement Data

Sign up for John Ader — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References