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

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

Odilon Claravall (NPI 1093800401)

Field	Value
Entity Type	Individual
Organization	Odilon Claravall
Address	1124 South Central Ave
City	Laurel
State	DE
ZIP	19956
Taxonomy	Internal Medicine Physician
NPI Enumerated	October 3, 2006

Payer Source	Total Paid
Medicare	$165.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 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…	1,760	$60	$102K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	370	$130	$47.1K
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…	140	$90	$13.3K
G0402	Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	10	$170	$1.8K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	10	$40	$460
G0179	Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and…	10	$30	$400
81002	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…	60	$1	$170
J1030	Injection, methylprednisolone acetate, 40 mg	30	$10	$130

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Delaware Distribution

Odilon Claravall — 1 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	945	1,830	150	$80	$25.5K
G0439	42	490	90	$120	$17.2K
99213	19	1,810	120	$60	$13.6K
G0402	103	110	20	$160	$3.1K
99212	452	480	30	$40	$3.1K
G0179	14	20	20	$30	$1.1K
J1030	34	40	50	$10	$950
81002	27	140	30	$1	$160

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Antonio Pedro	DE	Nephrology Physician	$177.4K	$0
Laurel Medical Group, LLC	DE	Internal Medicine Physician	$0	$127.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jeffery Bartoshesky Dmd LLC	DE	General Practice Dentistry	$0	$1.7M
Psychological Associates Of Southern Delaware	DE	Clinical Psychologist	$0	$752.5K
Lakeside Physical Therapy, LLC	DE	Rehabilitation Practitioner	$0	$371.8K
Laurel Fire Department Inc.	DE	Land Ambulance	$189.3K	$87.6K
Curtis Smith	DE	Family Medicine Physician	$188K	$0
State Of Delaware	DE	Local Education Agency (LEA)	$0	$181.8K
Metodio Pamplona	DE	Physical Therapist	$126.8K	$0
Tabitha Medical Care LLC	DE	Family Nurse Practitioner	$0	$124.2K
Accurate Optical Co Of Laurel Inc	DE	Optometrist	$0	$114.8K
Richard J. Tananis, D.d.s., L.L.C.	DE	General Practice Dentistry	$0	$114.5K

Odilon Claravall — Billing Profile & Reimbursement Data

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Odilon Claravall — 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