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

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

Eric Buchalter (NPI 1023034766)

Field	Value
Entity Type	Individual
Organization	Eric Buchalter
Address	173 Mineola Blvd
City	Mineola
State	NY
ZIP	11501
Taxonomy	Psychiatry Physician
NPI Enumerated	July 14, 2006

Payer Source	Total Paid
Medicare	$237.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	650	$110	$74.4K
90838	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient in addition to an evaluation and management service in the…	650	$100	$66.5K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	870	$60	$52.1K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	870	$50	$44.3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New York Distribution

Eric Buchalter — 3 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,829	30,450	90	$100	$19K
90838	1	40	120	$90	$17.7K
90833	28	620	110	$50	$12.5K
99212	65	7,850	30	$40	$3.6K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nyu Langone Hospitals	NY	General Acute Care Hospital	$0	$69.8M
Statcare Urgent & Walk In Medical Care PLLC	NY	Urgent Care Clinic/Center	$0	$27.1M
County Of Nassau County Comptroller	NY	Land Ambulance	$4.9M	$12.7M
Harry Staszewski	NY	Hematology & Oncology Physician	$1.2M	$18.3K
Martin Fletcher	NY	Ophthalmology Physician	$1M	$0
Marilyn Chengot	NY	Cardiovascular Disease Physician	$909.9K	$15.1K
Michael Scoma	NY	Infectious Disease Physician	$741.5K	$6.2K
Joseph Germano	NY	Clinical Cardiac Electrophysiology Physician	$656.3K	$56.9K
Saba Abolahrari	NY	Geriatric Medicine (Internal Medicine) Physician	$658.5K	$16.6K
Jonathan Haas	NY	Radiation Oncology Physician	$591.4K	$330

Eric Buchalter — Billing Profile & Reimbursement Data

Sign up for Eric Buchalter — Billing Profile & Reimbursement Data policy alerts

Eric Buchalter — Billing Profile & Reimbursement Data

Sign up for Eric Buchalter — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References