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

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

Herbert Ip (NPI 1093027443)

Field	Value
Entity Type	Individual
Organization	Herbert Ip
Address	289 County Rd
City	Windsor
State	VT
ZIP	05089
Taxonomy	Internal Medicine Physician
NPI Enumerated	July 13, 2010

Payer Source	Total Paid
Medicare	$33.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	140	$80	$10.8K
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…	110	$60	$6.5K
99316	The provider sees a patient for nursing facility discharge management requiring more than 30 minutes.	50	$100	$4.6K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	40	$90	$3.7K
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…	30	$90	$3.1K
99305	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	20	$100	$2.4K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	10	$130	$1.9K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	10	$50	$570
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	40	$10	$210

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Vermont Distribution

Herbert Ip — 0 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Vermont

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	29	60	140	$70	$12.6K
99232	103	320	60	$60	$7.1K
99308	47	50	80	$50	$6.9K
99223	197	230	30	$130	$5.9K
99239	65	140	40	$80	$5.4K
99305	16	30	30	$90	$3.2K
99222	70	230	20	$100	$3.2K
99316	6	30	30	$90	$2.8K
93010	71	130	40	$10	$1.9K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Windsor Hospital Corporation	VT	Internal Medicine Physician	$0	$524.3K
Gregory Aprilliano	NH	Certified Registered Nurse Anesthetist	$0	$478K
Jose Peraza	NH	Dermatology Physician	$378.5K	$0
David Lawlor	NH	Ophthalmology Physician	$180.1K	$5.1K
Lauren Pallet	VT	Optometrist	$0	$166.4K
Donald Miller	NH	Ophthalmology Physician	$144.5K	$0
Sivashakthi Maeder	NH	Ophthalmology Physician	$119.7K	$0
Jeffry Potash	VT	Gastroenterology Physician	$104.4K	$0
Shawn Ahmad	NH	Cardiovascular Disease Physician	$98.9K	$0
Nicholas Buss	OR	Interventional Cardiology Physician	$90.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Connecticut Valley Addiction Recovery, Inc	VT	Addiction Medicine (Internal Medicine) Physician	$0	$1.3M
Connecticut Valley Recovery Services, Inc.	VT	Addiction Medicine (Internal Medicine) Physician	$0	$999.1K
Town Of Windsor	VT	Land Ambulance	$251.6K	$260K
Barbara Spear	VT	Gerontology Clinical Nurse Specialist	$292K	$0
Maxi Green Inc	VT	Community/Retail Pharmacy	$145.7K	$0
Sarah Zwikelmaier	VT	Mental Health Counselor	$0	$86.5K
William Diez	VT	Occupational Therapist	$70.1K	$0
Alden Hall	VT	Hospitalist Physician	$60.8K	$0
Windsor Hospital Corporation	VT	Critical Access Hospital	$0	$56.5K
Maurice Paquette	VT	Physician Assistant	$50.4K	$0

Herbert Ip — Billing Profile & Reimbursement Data

Sign up for Herbert Ip — Billing Profile & Reimbursement Data policy alerts

Herbert Ip — Billing Profile & Reimbursement Data

Sign up for Herbert Ip — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References