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

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

Oran Schachter (NPI 1063831642)

Key Findings

Field	Value
Entity Type	Individual
Organization	Oran Schachter
Address	4849 Van Nuys Blvd Ste 210
City	Sherman Oaks
State	CA
ZIP	91403
Taxonomy	Foot & Ankle Surgery Podiatrist
NPI Enumerated	April 10, 2014

Payer Source	Total Paid
Medicare	$8M
Medicaid	$0

This provider is effectively a Medicare-focused practice: total Medicare revenue is $8M while there is no Medicaid billing on file, so payer mix is single-payer at scale for these data. The NPI was enumerated 2014-04-10 (~12 years ago), indicating roughly a decade of billing history to build this concentrated profile.

Revenue is highly concentrated in a very small set of services: the precomputed top 3 Medicare codes account for 97.4% of this provider's total Medicare revenue, with Q4158 alone representing 69.3% of Medicare dollars. That concentration means financial performance here is strongly dependent on continued volume and payment for those few graft/skin-substitute add-on codes.

The code mix points to a specialized wound-care and grafting operation within foot and ankle/podiatric surgery: Q4158 (11.8K claims, $471 avg paid/claim, $5.6M revenue) and Q4205 (1.9K claims, $1163 avg paid/claim, $2.2M revenue) are per-square-centimeter membrane/graft add-on codes, and debridement codes such as 11042 (655 claims) and 11043 (344 claims) appear in the roster. Together these entries indicate routine use of biologic/synthetic membrane graft materials plus accompanying debridement procedures consistent with a high-volume wound reconstruction service line.

Competitive standing is uneven across the top codes: for Q4158 the provider ranks #2 of 36 providers nationally (97th percentile) and is described as notably above typical national volume, making them a national-level leader for that specific graft product. By contrast, Q4205 ranks #15 of 63 providers nationally (77th percentile) and is characterized as typical/unremarkable volume, so the provider is a strong player for one graft code and a solid but not dominant user of the other.

Several additional codes show above-typical national activity and suggest breadth of procedural capability beyond the two dominant graft codes: 11042 ranks #428 of 10712 providers nationally (96th percentile) and is labeled notably above typical national volume, while 15271 ranks #47 of 1157 providers nationally (96th percentile) and is also notably above typical national volume. These higher-than-typical rankings for skin substitute and debridement codes support the interpretation that advanced wound products and extensive debridement are routine in this practice.

Hospital and facility-based E/M activity is present but contributes relatively little revenue compared with graft codes: 99222 (248 claims, $108 avg paid/claim, $26.8K revenue) ranks #1679 of 117621 providers nationally (99th percentile) and is described as an extreme outlier, far above typical national volume, while other inpatient/subsequent visit codes (99232, 99231) appear at more typical volumes. This mix indicates the provider also delivers significant hospital-based care for more complex inpatient admissions even though those services are a small share of dollars.

From a payer strategy perspective, the absence of Medicaid billing limits visibility into state-level competitiveness and means negotiations or network strategy should focus on Medicare rates, bundled payment exposure, and supply costs for graft materials. Given the heavy reliance on Q4158 and Q4205 for Medicare revenue, any changes in coverage, pricing, or utilization management for per-square-centimeter graft products could materially affect the provider’s revenue profile.

Operational risk and business opportunity both concentrate on supply-intense procedures: high per-claim payments reported ($471 avg for Q4158 and $1163 avg for Q4205) and very large volumes (11.8K and 1.9K claims respectively) suggest opportunities to optimize product selection and contracting on graft materials, and expose the practice to reimbursement policy changes targeted at expensive biologic membrane items. Monitoring utilization trends for Q4158 in particular will be critical because that single code drives the majority of this provider’s Medicare revenue.

Medicare: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q4158	Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure)	11,790	$470	$5.6M
Q4205	Membrane graft or membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure)	1,890	$1,160	$2.2M
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	660	$80	$54.4K
11043	The provider uses surgical instruments to remove the dead tissue in muscle and/or fascia, including any debridement of the epidermis, dermis, and subcutaneous tissue, for the first or only 20 cm2 or…	340	$150	$50.6K
15271	The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the patient’s trunk, arms, and/or legs up to an area of 100 cm2. This code covers up to the first 25 cm2.	320	$120	$37.6K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	470	$70	$31.2K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	250	$110	$26.8K
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…	290	$70	$19.6K
11045	The provider uses surgical instruments to remove dead tissue from the subcutaneous layer, as well as the epidermis and dermis if needed. She performs this service at the same session as a separately…	350	$30	$9.9K
11046	The provider uses surgical instruments to remove the dead tissue from the muscle and/or fascia, as well as the subcutaneous tissue layer, epidermis, and dermis if needed. She performs this service at…	220	$50	$9.8K

Showing 1–10 of 16

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pediatric And Family Medical Center	CA	Federally Qualified Health Center (FQHC)	$0	$71.8M
Keino Rutherford	CA	Internal Medicine Physician	$2M	$0
Kamran Koochek	CA	Diagnostic Radiology Physician	$1.8M	$18.4K
Jerrold Dreyer	CA	Infectious Disease Physician	$558K	$1.1M
Vahe Melkonyan	CA	Specialist	$1.3M	$0
Sourihna Khounphichane	CA	Family Nurse Practitioner	$1.3M	$0
Tim Kuson	CA	Otolaryngology Physician	$427.3K	$319.6K
David Kay	CA	Family Medicine Physician	$680.5K	$0
Larisse Lee	CA	Vascular Surgery Physician	$653.4K	$0
Oleg Liakhovetski	CA	Internal Medicine Physician	$559.3K	$0

Oran Schachter — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4158	2	10	6,260	$470	$3.6M
Q4205	5	10	1,890	$1,150	$2.7M
11043	92	370	120	$170	$52.1K
11046	87	160	270	$50	$24.2K
15271	19	170	110	$110	$18.6K
11042	67	1,030	100	$80	$18.1K
99232	1,450	12,280	90	$70	$16.3K
99305	371	710	50	$110	$13.4K
99213	6,284	34,660	80	$70	$13.2K
99223	8,669	13,190	50	$140	$11.3K