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

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

Elisa Birnbaum (NPI 1114943438)

Field	Value
Entity Type	Individual
Organization	Elisa Birnbaum
Address	12605 E 16th Ave
City	Aurora
State	CO
ZIP	80045
Taxonomy	Colon & Rectal Surgery Physician
NPI Enumerated	July 14, 2006

Payer Source	Total Paid
Medicare	$45.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
45540	In this service the provider makes an incision into the lower abdomen and treats rectal prolapse with sutures and mesh.	40	$840	$32.6K
99203	The provider sees a new 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 provider…	110	$60	$6.6K
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…	50	$50	$2.5K
57280	The provider pulls up the vaginal vault that is prolapsing and attaches it to a strong structure using sutures. The provider performs this procedure through an abdominal incision.	20	$120	$1.9K
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,…	30	$30	$840
57250	In this procedure, the provider repairs the vaginal wall where the rectum is pushing through to the vaginal canal. The provider also usually repairs and strengthens the perineum below the vaginal…	20	$40	$640

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Colorado Distribution

Elisa Birnbaum — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
45540	1	10	40	$840	$32.6K
57280	2	10	20	$560	$11.1K
99213	4,201	7,200	70	$60	$6.6K
57250	4	10	20	$190	$3.4K
99203	199	2,650	30	$70	$3.1K
99212	710	1,530	30	$40	$2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Paul Rochon	CO	Vascular & Interventional Radiology Physician	$420.6K	$0
Cj Kleck	CO	Orthopaedic Surgery of the Spine Physician	$277.9K	$0
Craig Hogan	CO	Adult Reconstructive Orthopaedic Surgery Physician	$220.2K	$0
Philip York	CO	Orthopaedic Surgery of the Spine Physician	$195.8K	$0
Aaron Kirkpatrick	CO	Diagnostic Radiology Physician	$176.7K	$0
David Ou-yang	CO	Orthopaedic Surgery of the Spine Physician	$169.8K	$0
Austin Derosa	CO	Urology Physician	$162.7K	$0
Juan Marmol-velez	CO	Cardiovascular Disease Physician	$140.7K	$0
Paul Maroni	CO	Urology Physician	$128.6K	$0
Poojitha Valasareddy	CO	Medical Oncology Physician	$125K	$0

Elisa Birnbaum — Billing Profile & Reimbursement Data

Sign up for Elisa Birnbaum — Billing Profile & Reimbursement Data policy alerts

Elisa Birnbaum — Billing Profile & Reimbursement Data

Sign up for Elisa Birnbaum — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References