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.

David Bortniker (NPI 1033156286)

Field	Value
Entity Type	Individual
Organization	David Bortniker
Address	242 E Main St
City	Somerville
State	NJ
ZIP	08876
Taxonomy	Otolaryngology Physician
NPI Enumerated	May 31, 2006

Payer Source	Total Paid
Medicare	$156.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	470	$70	$33.1K
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…	140	$140	$20.4K
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…	170	$110	$19K
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…	200	$80	$15.8K
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.	90	$170	$15.6K
31575	The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.	130	$120	$14.7K
92556	The provider measures a patient’s ability to recognize familiar words and repeat them to diagnose hearing disorders.	300	$40	$11.4K
92552	The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the lowest threshold at which the patient can hear.	340	$30	$10.4K
92588	The provider performs this noninvasive, diagnostic test to help detect inner ear abnormalities to identify such conditions as functional hearing loss or differentiate between sensory and neural…	290	$30	$7.8K
92550	The provider uses this global service code, which bundles tympanometry and reflex threshold measurement when the provider performs both tests to evaluate the middle ear and inner ear, respectively,…	290	$20	$5.2K

Showing 1–10 of 15

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Jersey Distribution

David Bortniker — 4 of 15 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

15 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
31231	132	230	120	$160	$25.5K
99214	5,870	13,640	130	$90	$23.6K
99213	1,479	14,090	100	$70	$13.1K
31575	42	240	70	$110	$9K
99204	344	7,160	40	$130	$6.5K
99203	174	5,660	40	$80	$4.8K
92588	5	70	40	$30	$2.7K
92550	10	80	80	$20	$2.5K
92625	8	10	30	$50	$2.4K
92587	27	30	70	$20	$2.1K

Showing 1–10 of 15

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tricounty Care Management Organization	NJ	Case Management Agency	$0	$49.5M
Midland Adult Services, Inc.	NJ	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$42.6M
Robert Wood Johnson University Hospital Inc	NJ	General Acute Care Hospital	$0	$42.3M
Ahmed Abdel-megid	NJ	Internal Medicine Physician	$2.6M	$0
Obi Imegwu	NJ	Vascular Surgery Physician	$1.6M	$0
Able Medical Transportation, Inc.	NJ	Land Ambulance	$828K	$505.4K
Patrick Saulino	NJ	Cardiovascular Disease Physician	$387.5K	$0
Ambulatory Surgical Center Of Somerville LLC	NJ	Ambulatory Surgical Clinic/Center	$308.9K	$0
Neel Shah	NJ	Urology Physician	$261.5K	$0
Nimer Mian	NJ	Neurology Physician	$252.1K	$0

David Bortniker — 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