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

Why is the Medicaid comparison limited to New Jersey 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. New Jersey (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.

A Salas (NPI 1124189030)

Field	Value
Entity Type	Individual
Organization	A Salas
Address	101 Old Short Hills Rd
City	West Orange
State	NJ
ZIP	07052
Taxonomy	Plastic and Reconstructive Surgery Physician
NPI Enumerated	December 13, 2006

Payer Source	Total Paid
Medicare	$27K
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
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…	270	$60	$17.1K
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…	50	$90	$3.9K
11043	The provider uses surgical instruments to remove the dead tissue in muscle and/or fascia, including any debridement of the epidermis, dermis, and subcutaneous tissue, for the first or only 20 cm2 or…	20	$130	$2.5K
15273	The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the patient’s trunk, arms, and/or legs that are greater than or equal to 100 cm2. This code covers the first…	20	$90	$1.3K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	10	$110	$1.3K
15274	The provider uses a skin substitute such as an allograft or xenograft to cover a trunk, arms, and/or legs wound surface area of up to an additional 100 cm2 in a patient 10 years or older, or 1…	20	$40	$720

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. New Jersey Distribution

A Salas — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
11043	78	90	60	$150	$16.7K
99213	3,120	14,090	100	$70	$13.1K
99222	4,074	4,370	40	$110	$6.7K
99203	2,482	5,660	40	$80	$4.8K
15273	1	10	20	$90	$1.3K
15274	1	10	20	$40	$730

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Barnabas Health Medical Group, PC	NJ	Specialist	$0	$39.6M
Anchor Behavioral Solutions LLC	NJ	Community/Behavioral Health Agency	$0	$27.2M
Vna Health Group Of New Jersey, LLC	NJ	Community Based Hospice Care Agency	$0	$24.5M
Premie Home Health Care Services, Inc.	NJ	Home Health Agency	$0	$12.5M
Mental Health Assn Of Essex And Morris	NJ	Case Management Agency	$0	$10.6M
Vna Health Group Of New Jersey, LLC	NJ	Home Health Agency	$0	$10.6M
Kessler Institute For Rehabilitation Inc	NJ	Rehabilitation Hospital	$0	$10.2M
Rwjbh Primary Care Services	NJ	Internal Medicine Physician	$0	$8.6M
West Orange Board Of Education	NJ	Local Education Agency (LEA)	$0	$8.2M
Maxim Healthcare Services, Inc.	NJ	Home Health Agency	$0	$8.1M

A Salas — Billing Profile & Reimbursement Data

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A Salas — 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