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

Why is the Medicaid comparison limited to New Jersey 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. New Jersey (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.

Kristen Radcliff (NPI 1003071010)

Field	Value
Entity Type	Individual
Organization	Kristen Radcliff
Address	415 New Rd Ste 3
City	Somers Point
State	NJ
ZIP	08244
Taxonomy	Orthopaedic Surgery of the Spine Physician
NPI Enumerated	July 20, 2008

Payer Source	Total Paid
Medicare	$48.7K
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
22551	A cervical disc is removed through the front of the neck to help ease spinal pain and related symptoms. Fusion is performed to stabilize the vertebrae.	10	$1,080	$11.8K
22853	The provider inserts a metallic cage or mesh device between two vertebrae and may use screws or flanges to attach it to the front part of the vertebrae; the device maintains the disc space, provides…	40	$220	$9.5K
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…	60	$130	$8.3K
99203	The provider sees a new 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 provider…	70	$90	$6.9K
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…	70	$70	$4.8K
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…	40	$100	$3.3K
99205	The provider sees a new 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 provider…	10	$180	$2.1K
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…	10	$150	$1.8K

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. New Jersey Distribution

Kristen Radcliff — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	11,138	13,640	130	$90	$23.6K
22551	15	20	10	$880	$13.2K
99213	8,354	14,090	100	$70	$13.1K
99215	3,573	3,750	40	$140	$12K
99204	1,906	7,160	40	$130	$6.5K
99205	1,766	1,970	30	$170	$6.5K
99203	1,443	5,660	40	$80	$4.8K
22853	10	60	30	$140	$4.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shore Memorial Hospital	NJ	General Acute Care Hospital	$0	$52.4M
Golden Heart Adult Day Care, Inc	NJ	Adult Day Care Clinic/Center	$0	$9M
Shore Ambulatory Surgical Center, LLC	NJ	Ambulatory Surgical Clinic/Center	$1.2M	$40.3K
Stephen Zabinski	NJ	Adult Reconstructive Orthopaedic Surgery Physician	$1M	$0
Peter Scordo	NJ	Physical Therapist	$849K	$0
Ajay Viswambharan	NJ	Diagnostic Radiology Physician	$462.7K	$0
Christopher Lucasti	NJ	Infectious Disease Physician	$441.3K	$0
James Mesham	NJ	Diagnostic Radiology Physician	$414.6K	$0
Jeffrey Gosin	NJ	Surgery Physician	$369K	$0
Thomas Barrett	NJ	Orthopaedic Surgery Physician	$362.8K	$0

Kristen Radcliff — Billing Profile & Reimbursement Data

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Kristen Radcliff — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References