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

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

Mark Potenza (NPI 1134122096)

Field	Value
Entity Type	Individual
Organization	Mark Potenza
Address	5700 W Genesee St
City	Camillus
State	NY
ZIP	13031
Taxonomy	Plastic and Reconstructive Surgery Physician
NPI Enumerated	May 24, 2005

Payer Source	Total Paid
Medicare	$287.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

31 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…	670	$60	$39.6K
11442	The provider excises a benign (noncancerous) lesion including margins from the face, ears, eyelids, nose, lips, or mucous membrane that is 1.1 to 2.0 cm in diameter and also performs a simple…	330	$110	$35.6K
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…	340	$90	$29.9K
11642	The provider excises a cancerous (malignant) lesion, including margins, of 1.1 to 2.0 cm in diameter, from the skin of the face, ears, eyelids, nose, lips.	110	$160	$18.3K
12052	This CPT® code is used for the intermediate repair of wounds to the face, ears, eyelids, nose, lips and/or mucous membranes that are 2.6 to 5.0 cm in size.	80	$240	$18.1K
11422	The provider excises a noncancerous lesion, excluding a skin tag, of 1.1 to 2.0 cm in diameter, including margins, from the skin of the scalp, neck, hands, feet, or genitals.	170	$90	$14.6K
11402	The provider excises a noncancerous lesion, excluding a skin tag, of 1.1 to 2.0 cm in diameter, including margins, from the skin of the trunk, arms, or legs.	170	$90	$14.4K
12032	This CPT® code is used for the intermediate repair of wounds to the scalp, axillae, trunk and/or extremities (excluding hands and feet) that are 2.6 to 7.5 cm in size.	60	$200	$12.9K
11441	The provider excises a benign (noncancerous) lesion including margins from the face, ears, eyelids, nose, lips, or mucous membrane that is 0.6 to 1.0 cm in diameter and also performs a simple…	150	$90	$12.8K
11602	The provider excises a cancerous (malignant) lesion, including margins, of 1.1 to 2.0 cm in diameter, from the skin of the trunk, arms, or legs.	70	$150	$10.6K

Showing 1–10 of 31

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 31 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New York Distribution

Mark Potenza — 8 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. state median

31 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	5,046	30,450	90	$100	$19K
13121	85	160	30	$260	$13.3K
99213	1,457	31,440	80	$70	$12.1K
11421	10	20	60	$120	$10.6K
13101	93	120	30	$280	$9.3K
17283	5	10	20	$190	$7.8K
12032	30	210	30	$200	$7.4K
11442	1	10	20	$120	$7.3K
99204	11,514	14,170	30	$130	$6.6K
11302	67	100	20	$100	$6K

Showing 1–10 of 31

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Epc, LLC	NY	Endoscopy Clinic/Center	$433.7K	$521.6K
Alexander Knudsen	NY	Internal Medicine Physician	$156.6K	$0
Samuel Alpert	NY	Ophthalmology Physician	$105.1K	$47.8K
John Sun	NY	Gastroenterology Physician	$71.4K	$200
Alice Miller	NY	Family Medicine Physician	$69.2K	$0
Jessica Town	NY	Orthopedic Physical Therapist	$52.9K	$0
West Asc, LLC	NY	Ambulatory Surgical Clinic/Center	$34K	$0
Nicole Anzalone	NY	Audiologist-Hearing Aid Fitter	$16.4K	$0

Mark Potenza — Billing Profile & Reimbursement Data

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Mark Potenza — 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