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.

Samuel Taylor (NPI 1134388697)

Field	Value
Entity Type	Individual
Organization	Samuel Taylor
Address	535 E 70th St
City	New York
State	NY
ZIP	10021
Taxonomy	Sports Medicine (Orthopaedic Surgery) Physician
NPI Enumerated	June 9, 2008

Payer Source	Total Paid
Medicare	$185.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
23472	In this procedure, the provider performs a total shoulder arthroplasty in which the provider replaces the damaged head of the humerus and the glenoid cavity with prosthetic implants. The provider…	90	$1,230	$109.7K
23430	In this procedure, the provider surgically cleans the long tendon of the biceps from its damaged fragment and fixes the tendon to the upper end of the humerus to improve the stability of the joint.…	80	$320	$26.7K
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…	120	$130	$15K
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…	200	$70	$13K
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…	110	$100	$10.8K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	70	$60	$4.1K
29823	The provider examines the tissue inside the shoulder joint with an arthroscope. He inserts additional instruments and excises extensive damaged tissues in the shoulder joint caused by trauma to the…	10	$280	$3.3K
20611	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…	20	$70	$1.4K
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…	20	$70	$1.1K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	540	$1	$540

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New York Distribution

Samuel Taylor — 2 of 10 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

10 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
23472	2	110	20	$1,010	$27.3K
99214	13,785	30,450	90	$100	$19K
20611	665	740	80	$90	$15.9K
99213	7,764	31,440	80	$70	$12.1K
23430	1	30	20	$390	$9.8K
20610	815	1,870	60	$60	$7K
99204	1,200	14,170	30	$130	$6.6K
29823	58	70	20	$270	$5.2K
99203	9,316	11,360	30	$90	$4.7K
J3301	341	1,930	120	$1	$300

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pantelis Pavlakis	NY	Neurology Physician	$1.1M	$0
Amar Ranawat	NY	Adult Reconstructive Orthopaedic Surgery Physician	$513K	$0
Brian Chalmers	NY	Orthopaedic Surgery Physician	$501.4K	$0
William Long	NY	Adult Reconstructive Orthopaedic Surgery Physician	$438.9K	$730
Jason Blevins	NY	Orthopaedic Surgery Physician	$431K	$0
Matthew Austin	NY	Adult Reconstructive Orthopaedic Surgery Physician	$392.6K	$0
Peter Sculco	NY	Adult Reconstructive Orthopaedic Surgery Physician	$357.4K	$0
Alexander Mclawhorn	NY	Orthopaedic Surgery Physician	$347.1K	$0
Gwo-chin Lee	NY	Orthopaedic Surgery Physician	$342.8K	$780
Alexander Shtilbans	NY	Neurology Physician	$325K	$0

Samuel Taylor — Billing Profile & Reimbursement Data

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Samuel Taylor — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References