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.

Robert Adelson (NPI 1033127006)

Field	Value
Entity Type	Individual
Organization	Robert Adelson
Address	3400 Spruce Street
City	Philadelphia
State	PA
ZIP	19104
Taxonomy	Otolaryngology Physician
NPI Enumerated	August 4, 2006

Payer Source	Total Paid
Medicare	$86.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
31231	In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.	310	$130	$40.7K
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…	240	$70	$16K
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…	110	$90	$10.7K
31237	In this procedure, the provider inserts an endoscope into the nasal cavity. She examines the nasal contents. The provider then performs a nasal biopsy, polypectomy, or debridement.	40	$250	$8.9K
77011	In this procedure, the provider uses computed tomography guidance to locate small targets inside the body using a three–dimensional coordinate system.	50	$150	$6.8K
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…	20	$130	$2.2K
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…	20	$80	$1.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Pennsylvania Distribution

Robert Adelson — 1 of 7 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

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
31231	26	320	60	$130	$15K
99214	10,832	23,230	100	$80	$14.5K
31237	18	40	30	$230	$11.5K
99213	3,383	22,370	70	$60	$7.7K
99204	7,634	10,290	30	$110	$5K
99203	5,318	7,330	30	$70	$3.5K
77011	1	10	20	$80	$1.9K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kevin Leahy	PA	Otolaryngology Physician	$153.5K	$0
Siobhan Kuhar	NY	Otolaryngology Physician	$135.1K	$520
Lawrence Kaufman	NY	Otolaryngology Physician	$132.4K	$510
Nora Perkins	NY	Otolaryngology Physician	$125.3K	$530
Jonathan Lee	PA	Otolaryngology Physician	$110.1K	$0
Douglas Bigelow	PA	Otolaryngology Physician	$87.5K	$0
Robert Engle	NY	Specialist	$69.8K	$600
Francesca Blasio	FL	Audiologist	$60.9K	$0
Alexander Bien	OK	Otology & Neurotology Physician	$36.2K	$410
Oren Friedman	PA	Otolaryngology Physician	$19.9K	$0

Robert Adelson — Billing Profile & Reimbursement Data

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Robert Adelson — 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