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

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

Carolyn Botros (NPI 1003243361)

Field	Value
Entity Type	Individual
Organization	Carolyn Botros
Address	1770 Bathgate Rd Ste 401
City	Bethlehem
State	PA
ZIP	18017
Taxonomy	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
NPI Enumerated	October 2, 2013

Payer Source	Total Paid
Medicare	$76.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	130	$130	$16.1K
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…	150	$80	$11.5K
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…	100	$100	$10.7K
51797	Voiding pressure (sometimes referred to as leak point pressure) measures contractions of the detrusor muscle and can detect a pressure obstruction if the patient is able to void, or express, urine.	40	$180	$6.6K
51729	In this procedure, the provider performs a complex cystometrogram along with voiding pressure studies and urethral pressure profile studies to diagnose certain urinary disorders like an overactive…	20	$340	$6.5K
57288	The provider places a sling made of fascia or synthetic material under the urethra to support it in the correct position to treat urinary stress incontinence. The procedure can be performed…	10	$520	$6.2K
51701	In this procedure, the provider places a non–indwelling catheter into the bladder via the urethra for the purpose of intermittent catheterization or catheterization to obtain residual urine left…	170	$40	$6.1K
51728	In this procedure, the provider performs a complex cystometrogram along with voiding pressure studies to diagnose certain urinary disorders like an overactive bladder, stress incontinence, or urinary…	20	$330	$6K
52000	In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…	30	$220	$5.9K
51784	This test measures the electrical activity in the anal or urethral sphincter muscles.	30	$30	$990

Showing 1–10 of 12

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Pennsylvania Distribution

Carolyn Botros — 1 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

12 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	11,568	23,230	100	$80	$14.5K
52000	342	400	70	$140	$13.9K
51729	30	40	30	$260	$9.9K
57288	27	30	20	$440	$9.6K
99213	5,697	22,370	70	$60	$7.7K
51728	36	60	20	$210	$5.9K
99204	510	10,290	30	$110	$5K
51797	27	100	20	$120	$3.8K
51701	3	80	20	$30	$1.2K
51784	35	120	20	$20	$760

Showing 1–10 of 12

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bayada Home Health Care, Inc.	PA	Home Health Agency	$0	$27.9M
Lifepath, Inc.	PA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$17.3M
Progressive Physician Assoc Inc	PA	Diagnostic Radiology Physician	$0	$8M
Children's Surgery Center Of Lehigh Valley, LLC	PA	Ambulatory Surgical Clinic/Center	$0	$7.2M
St. Luke's Physician Group, Inc.	PA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.1M
City Of Bethlehem	PA	Land Ambulance	$876.2K	$3.4M
Sltlbk Associates, LLC	PA	Ophthalmologic Surgery Clinic/Center	$3.6M	$15K
Ellen Field	PA	Rheumatology Physician	$2.1M	$0
Joseph Zaladonis	PA	Specialist	$1.4M	$0
David Vasily	PA	Dermatology Physician	$1.1M	$0

Carolyn Botros — Billing Profile & Reimbursement Data

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Carolyn Botros — 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