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

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

Robert Zimmerman (NPI 1174529457)

Field	Value
Entity Type	Individual
Organization	Robert Zimmerman
Address	171 Red Horse Rd
City	Pottsville
State	PA
ZIP	17901
Taxonomy	Obstetrics & Gynecology Physician
NPI Enumerated	June 22, 2005

Payer Source	Total Paid
Medicare	$25.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	220	$40	$9.1K
G0101	Cervical or vaginal cancer screening; pelvic and clinical breast examination	220	$40	$8.4K
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…	110	$60	$6.1K
76830	The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.	20	$80	$1.7K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Pennsylvania Distribution

Robert Zimmerman — 2 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	7,977	22,370	70	$60	$7.7K
G0101	22	1,030	30	$40	$2K
Q0091	5	440	20	$40	$1.7K
76830	179	400	20	$40	$1.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Valley Health Partners Community Health Center	PA	Federally Qualified Health Center (FQHC)	$0	$32.3M
Valley Health Partners Community Health Center	PA	Federally Qualified Health Center (FQHC)	$0	$11.9M
Valley Health Partners Community Health Center	PA	Federally Qualified Health Center (FQHC)	$0	$11.2M
Valley Health Partners Community Health Center	PA	Federally Qualified Health Center (FQHC)	$0	$10.1M
Joseph Zaladonis	PA	Specialist	$1.4M	$0
Susan Kim	PA	Rheumatology Physician	$770.1K	$0
Steven Oberlender	PA	MOHS-Micrographic Surgery Physician	$760K	$0
Nicole Chiappetta	PA	Rheumatology Physician	$625K	$0
Tomasz Wiraszka	GA	Retina Specialist (Ophthalmology) Physician	$533.4K	$11.9K
Cynthia Bartus	PA	MOHS-Micrographic Surgery Physician	$457.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Redco Group, LLC.	PA	Adolescent and Children Mental Health Clinic/Center	$0	$26.6M
Merakey Pennsylvania	PA	Community/Behavioral Health Agency	$0	$26.3M
The Redco Group, LLC.	PA	Community/Behavioral Health Agency	$0	$16.8M
Lehigh Valley Hospital - Schuylkill	PA	Rural Acute Care Hospital	$0	$6.8M
Integrated Medical Group P C	PA	Family Medicine Physician	$0	$5.5M
Pottsville Area Emergency Medical Services, Inc.	PA	Land Ambulance	$931.5K	$2.1M
The Pottsville PA Endoscopy Asc LP	PA	Ambulatory Surgical Clinic/Center	$509.5K	$146.9K
Solomon Luo	PA	Ophthalmology Physician	$390.9K	$31.1K
Schuylkill Open Mri Inc	PA	Radiology Clinic/Center	$365.7K	$9.6K
William Kellogg	PA	Ophthalmology Physician	$108.5K	$245.1K

Robert Zimmerman — Billing Profile & Reimbursement Data

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Robert Zimmerman — 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