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

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

Paul Gallo (NPI 1144684101)

Paul Gallo is a anesthesiology physician provider located in Charlottesville, Virginia. This profile covers 19 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Provider details (source: NPPES NPI Registry)

Medicare: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Paul Gallo
Address	1215 Lee St
City	Charlottesville
State	VA
ZIP	22908
Taxonomy	Anesthesiology Physician
NPI Enumerated	April 6, 2016

Payer Source	Total Paid
Medicare	$53K
Medicaid	$0

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	120	$170	$20.1K
00567	The provider performs anesthesia services for a patient undergoing a coronary artery bypass graft procedure. The procedure requires a pump oxygenator to take on the work of the heart and lungs.	10	$750	$9K
00537	The provider performs anesthesia services for a patient undergoing cardiac electrophysiologic procedures, such as mapping, pacing, recording, arrhythmia induction, lead testing, and similar services,…	20	$250	$4K
99292	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	40	$80	$3K
00840	The provider performs anesthesia services for a patient undergoing intraperitoneal procedures in the lower abdomen, including laparoscopy, which are not specified by any other anesthesia code.	10	$200	$2.2K
36556	The provider inserts a central venous access catheter in the neck, chest, or groin to draw blood or administer medication or nutrients to a patient 5 years of age or older.	30	$70	$1.7K
93312	In this procedure, the provider performs transesophageal echocardiography, or TEE, with multiple transducers, or probes, or a rotating transducer to obtain a two–dimensional (2D) image of the heart.…	20	$80	$1.6K
01922	The provider performs anesthesia services for a patient undergoing non–invasive imaging or radiation therapy.	10	$120	$1.5K
64420	The provider injects an anesthetic agent and/or steroid in one of the ventral branches of the thoracic spinal nerves located under each rib, called an intercostal nerve. Report this code for one or…	20	$70	$1.5K
00520	The provider performs anesthesia services for a patient undergoing closed chest procedures including bronchoscopy, which means viewing the windpipe for investigation. This code includes procedures…	10	$110	$1.5K

Showing 1–10 of 19

Paul Gallo — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99291	338	1,950	50	$170	$12.2K
99232	3,878	4,460	80	$60	$11K
00567	29	40	10	$550	$8.7K
00537	81	170	20	$220	$5.2K
99292	54	150	30	$80	$3.1K
00811	901	1,120	30	$70	$2.9K
00520	22	50	10	$130	$2.6K
01922	114	160	20	$110	$2.4K
93312	132	250	20	$80	$2.3K
00840	117	150	10	$140	$2.3K