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

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

Shalom Kelman (NPI 1093853244)

Field	Value
Entity Type	Individual
Organization	Shalom Kelman
Address	1777 Reisterstown Rd
City	Baltimore
State	MD
ZIP	21208
Taxonomy	Ophthalmology Physician
NPI Enumerated	February 1, 2007

Payer Source	Total Paid
Medicare	$83.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	230	$180	$41.8K
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…	160	$100	$16.2K
92083	The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…	200	$50	$10.5K
92060	The basic eye sensorimotor exam checks the alignment of the eyes and their ability to move together in eight fields of gaze ( up, down, right, left, up–left, up–right, down–left, down–right) and…	190	$50	$9.9K
92250	Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…	190	$30	$5.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maryland Distribution

Shalom Kelman — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	4,812	10,270	150	$90	$24.1K
92083	130	480	90	$50	$8.8K
99205	13	1,910	30	$160	$6.5K
92250	108	490	60	$30	$4.9K
92060	5	60	40	$50	$4.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Prologue, Inc	MD	Community/Behavioral Health Agency	$0	$18.1M
Health Rite Pharmacy & Medical Supply Inc	MD	Community/Retail Pharmacy	$1.6K	$16.5M
C&c Advocacy And Health Services, Inc.	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$12.6M
The Monumental Group LLC	MD	Substance Use Disorder Rehabilitation Clinic/Center	$0	$9.1M
The Therapy Spot	MD	Occupational Therapy Assistant	$0	$8.5M
Pikesville Health Services LLC	MD	Methadone Clinic	$168.1K	$5.6M
Acme Medical Supplies, Inc.	MD	Oxygen Equipment & Supplies (DME)	$0	$5.3M
Empowerment Therapy Services Of Maryland, LLC	MD	Community/Behavioral Health Agency	$0	$5.1M
Empowerment Therapy Services Of Maryland, LLC	MD	Rehabilitation Clinic/Center	$0	$4.5M
Healthy Life Adult Medical Day Center, LLC	MD	Adult Day Care Clinic/Center	$0	$4.2M

Shalom Kelman — Billing Profile & Reimbursement Data

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Shalom Kelman — 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