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.

Irina Middleton (NPI 1093242489)

Field	Value
Entity Type	Individual
Organization	Irina Middleton
Address	385 Oxford Valley Rd Ste 406
City	Yardley
State	PA
ZIP	19067
Taxonomy	Audiologist
NPI Enumerated	May 16, 2017

Payer Source	Total Paid
Medicare	$10.8K
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
92557	The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…	230	$30	$6.3K
92567	In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss.	210	$10	$2.5K
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…	60	$20	$1.5K
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,…	40	$10	$530

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. Pennsylvania Distribution

Irina Middleton — 0 of 4 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

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92557	84	490	90	$30	$3.4K
92550	59	90	50	$20	$1.5K
92567	81	390	70	$10	$1.4K
92588	9	50	30	$30	$1.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brian Mcgettigan	PA	Otolaryngology Physician	$283.2K	$0
Kyle Fisher	PA	Otolaryngology Physician	$245.3K	$0
Joseph Spiegel	PA	Otolaryngology Physician	$169.4K	$0
Joseph Curry	PA	Otolaryngology Physician	$160.5K	$0
Marc Rosen	PA	Otolaryngology Physician	$136.4K	$0
Gurston Nyquist	PA	Otolaryngology Physician	$116.7K	$0
Elina Toskala	PA	Otolaryngic Allergy Physician	$103K	$0
David Rosen	PA	Otolaryngology Physician	$100.4K	$0
Mauritis Boon	PA	Otolaryngology Physician	$92.9K	$0
Colin Huntley	PA	Sleep Medicine (Otolaryngology) Physician	$81.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Goldstar Rehabilitation Inc.	PA	Speech-Language Pathologist	$0	$19.1M
Milestone Behavioral Health LLC	PA	Community/Behavioral Health Agency	$0	$16.6M
Farhan Tahir	PA	Rheumatology Physician	$1M	$0
Carmen Campanelli	PA	MOHS-Micrographic Surgery Physician	$808.7K	$0
Christopher Schulze	PA	Clinical Cardiac Electrophysiology Physician	$625.3K	$0
Joel Berman	PA	Diagnostic Radiology Physician	$614.9K	$0
Adel Haque	PA	Dermatology Physician	$503.3K	$0
Thomas Maclennan	PA	Diagnostic Radiology Physician	$469.2K	$0
Adam Blechman	PA	MOHS-Micrographic Surgery Physician	$450.6K	$0
Paul Grena	PA	Cardiovascular Disease Physician	$433.4K	$0

Irina Middleton — Billing Profile & Reimbursement Data

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Irina Middleton — 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

Nearby Providers

Frequently Asked Questions

References