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

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

John Pasqual (NPI 1124000575)

Field	Value
Entity Type	Individual
Organization	John Pasqual
Address	4600 Linton Blvd
City	Delray Beach
State	FL
ZIP	33445
Taxonomy	Oral and Maxillofacial Surgery (Dentist)
NPI Enumerated	November 18, 2005

Payer Source	Total Paid
Medicare	$43K
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
99204	The provider sees a new 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 provider…	190	$120	$23K
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…	170	$90	$14.9K
41827	In this procedure, the provider excises a lesion or tumor from a dentoalveolar structure and repairs the site using a complex repair procedure, like grafting or complex suturing.	10	$290	$3.8K
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…	20	$70	$1.3K

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. Florida Distribution

John Pasqual — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	14,609	32,760	140	$90	$25K
99213	27,191	30,010	80	$60	$12K
99204	890	19,040	40	$110	$7K
41827	1	10	10	$290	$3.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ambassador Health Services Inc	FL	Home Health Agency	$0	$14.7M
Samuel Ganz	FL	Internal Medicine Physician	$5.3M	$0
Etan Marks	FL	Dermatopathology (Pathology) Physician	$2.7M	$0
Genetics Institute Of America Laboratory Fl1 Corp	FL	Clinical Medical Laboratory	$2.3M	$0
The Outpatient Center, LLC	FL	Ambulatory Surgical Clinic/Center	$1.8M	$0
Delray Beach Asc, LLC	FL	Ambulatory Surgical Clinic/Center	$1.6M	$0
Kimberly Balshi	FL	Nurse Practitioner	$1.3M	$0
Jason Rosen	FL	Dermatopathology Physician	$1.1M	$0
Aaron Weiss	FL	Gastroenterology Physician	$948.1K	$0
Morris Naus	FL	Gastroenterology Physician	$866.2K	$0

John Pasqual — Billing Profile & Reimbursement Data

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John Pasqual — 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