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

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

Daniel Southern (NPI 1154346302)

Field	Value
Entity Type	Individual
Organization	Daniel Southern
Address	91 East Ave Ste 1a
City	Norwalk
State	CT
ZIP	06851
Taxonomy	Pain Medicine (Physical Medicine & Rehabilitation) Physician
NPI Enumerated	July 12, 2006

Payer Source	Total Paid
Medicare	$13.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 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…	100	$60	$5.7K
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…	30	$90	$2.6K
64483	This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).	10	$210	$2.5K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	60	$30	$1.8K
76881	In this procedure, the provider uses ultrasound to examine the complete joint for any defect or abnormality. The image appears in real time on a monitor, and a permanent image with interpretation is…	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 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Connecticut Distribution

Daniel Southern — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
64483	70	70	60	$220	$17.7K
99213	2,391	6,440	70	$60	$8.1K
99204	1,270	2,660	30	$120	$4.6K
99212	318	1,340	30	$40	$2.2K
76881	7	10	20	$40	$1.8K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Stamford Hospital	CT	General Acute Care Hospital	$0	$139.9M
Glenn Gandelman	CT	Cardiovascular Disease Physician	$1.7M	$593.4K
Sanjay Shah	PA	Pain Medicine Physician	$913K	$0
Eli Loch	FL	Pain Medicine (Anesthesiology) Physician	$592K	$0
Francis Walsh	CT	Internal Medicine Physician	$467.6K	$0
Carolyn Testa-casino	CT	Physical Medicine & Rehabilitation Physician	$440.8K	$0
Paul Gagne	MA	Vascular Surgery Physician	$437.9K	$0
Sandhya Dhruvakumar	CT	Clinical Cardiac Electrophysiology Physician	$359.1K	$0
Christopher Williams	GA	Physical Medicine & Rehabilitation Physician	$324.3K	$0
Ariana Demers	CA	Sports Medicine (Orthopaedic Surgery) Physician	$295.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Center For Advanced Pediatrics, P.C	CT	Pediatrics Physician	$0	$7M
Mid-fairfield Child Guidance Center	CT	Community/Behavioral Health Agency	$0	$5.5M
Simon Bangiyev Dds, Md, PC Dba Premier Oral Surgery	CT	Oral and Maxillofacial Surgery (Dentist)	$0	$5.3M
Keystone House Inc.	CT	Mental Illness Community Based Residential Treatment Facility	$0	$3.4M
Allergy Center Of Connecticut, PC	CT	Allergy & Immunology Physician	$0	$2.6M
Richard A. Fichman, Md PC	CT	Ophthalmology Physician	$0	$2.5M
Myeyedr Optometry Of Connecticut, LLC	CT	Optometrist	$0	$2.3M
East Avenue Pediatrics PC	CT	Pediatrics Physician	$0	$1.8M
Robert L. Weiss, Md, PC	CT	Specialist	$0	$1.8M
Erol Verter	CT	Ophthalmology Physician	$1.7M	$0

Daniel Southern — Billing Profile & Reimbursement Data

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Daniel Southern — 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

Nearby Providers

Frequently Asked Questions

References