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

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

Charles Upton (NPI 1992870711)

Field	Value
Entity Type	Individual
Organization	Charles Upton
Address	1151 N State St
City	Jackson
State	MS
ZIP	39202
Taxonomy	Anesthesiology Physician
NPI Enumerated	November 21, 2006

Payer Source	Total Paid
Medicare	$81.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
00142	The provider performs anesthesia services for a patient undergoing an eye lens procedure.	210	$80	$17.3K
00670	The provider performs anesthesia services for a patient undergoing an extensive spine and spinal cord procedures including spinal instrumentation, where the provider implants plates and screws into…	50	$210	$9.5K
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.	80	$120	$8.7K
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…	90	$50	$4K
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…	70	$60	$3.9K
00840	The provider performs anesthesia services for a patient undergoing intraperitoneal procedures in the lower abdomen, including laparoscopy, which are not specified by any other anesthesia code.	30	$110	$3.6K
01638	The provider performs anesthesia services for a patient undergoing replacement of the shoulder joint.	20	$150	$3.2K
01230	The provider performs anesthesia services for a patient undergoing an open procedure of the upper two thirds of the femur, or the thigh bone, the long bone that extends from the pelvis to the knee.	30	$100	$2.9K
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…	50	$60	$2.7K
00300	The provider performs anesthesia services for a patient undergoing any procedure on the integumentary system, muscles and nerves of head, neck, and posterior trunk.	30	$90	$2.5K

Showing 1–10 of 26

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Mississippi Distribution

Charles Upton — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Mississippi

Full comparison — all codes billed, vs. state median

26 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
00142	21	160	50	$70	$8.9K
00811	113	300	30	$80	$4.6K
00670	2	60	20	$220	$4.2K
01402	81	120	20	$160	$3.9K
00630	10	10	20	$210	$3.8K
00731	53	390	20	$80	$3.2K
01844	11	20	20	$130	$3.1K
00813	63	160	20	$90	$3K
00790	2	140	20	$120	$2.6K
01210	1	10	20	$150	$2.3K

Showing 1–10 of 26

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Usa Health Anesthesia Billing Services, LLC	AL	Anesthesiology Physician	$0	$1.9M
Ryan Hill	SC	Anesthesiology Physician	$373.4K	$0
Ben Tacheron	MD	Pain Medicine (Anesthesiology) Physician	$312.3K	$0
Melanie Waldrop	MS	Certified Registered Nurse Anesthetist	$68.9K	$0
Lee Woods	MS	Certified Registered Nurse Anesthetist	$65.6K	$0
Mitchell Mcgarrh	MS	Certified Registered Nurse Anesthetist	$61.5K	$0
Michael King	MS	Certified Registered Nurse Anesthetist	$60.6K	$0
Kelly O'reilly	MS	Certified Registered Nurse Anesthetist	$60.3K	$0
Wilburn Maxwell	MS	Anesthesiology Physician	$58.9K	$0
Bart Bailey	AL	Pain Medicine (Anesthesiology) Physician	$57.2K	$0

Charles Upton — Billing Profile & Reimbursement Data

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Charles Upton — 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

Frequently Asked Questions

References