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.

Ralph Cincinnati (NPI 1174580716)

Field	Value
Entity Type	Individual
Organization	Ralph Cincinnati
Address	1030 Reed Ave
City	Wyomissing
State	PA
ZIP	19610
Taxonomy	Nurse Practitioner
NPI Enumerated	April 27, 2006

Payer Source	Total Paid
Medicare	$112.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	1,290	$70	$94K
95251	A provider analyzes and interprets data from a patient’s continuous glucose monitor (CGM) and writes a report based on interpretation. This code represents the professional component of the service…	400	$20	$8.3K
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…	70	$50	$3.6K
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	$100	$2.8K
93923	Noninvasive arterial diagnostic procedures are performed to examine the rate of blood flow in an area and to assess the presence of a blockage in the upper and lower extremity arteries.…	30	$70	$2K
95923	In this procedure, the provider tests the sudomotor function of the autonomic nervous system to check functioning of nerves that supply sweat glands. The autonomic nervous system is that part of the…	10	$80	$1.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Pennsylvania Distribution

Ralph Cincinnati — 2 of 6 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

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	110	23,230	100	$80	$14.5K
99213	10,698	22,370	70	$60	$7.7K
95923	15	20	20	$90	$5.2K
99204	5,158	10,290	30	$110	$5K
93923	145	250	40	$50	$2.9K
95251	4	310	70	$20	$2.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lauren Douglas	PA	Nurse Practitioner	$12.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bayada Home Health Care, Inc.	PA	Home Health Agency	$0	$18.5M
Holcomb Associates, Inc.	PA	Community/Behavioral Health Agency	$0	$11.1M
Paragon Behavioral Health Services, LLC	PA	Community/Behavioral Health Agency	$0	$10.8M
Patient First Pennsylvania Medical Group PLLC	PA	Family Medicine Physician	$0	$5.6M
Barry Malloy	PA	Retina Specialist (Ophthalmology) Physician	$3.3M	$1.8K
Anastasia Traband	PA	Retina Specialist (Ophthalmology) Physician	$3.1M	$14K
The Reading Hospital Surgicenter At Spring Ridge LLC	PA	Ambulatory Surgical Clinic/Center	$330.9K	$2.3M
Saurin Mehta	PA	Specialist	$2.6M	$0
Pennsylvania Eye & Ear Surgery	PA	Ambulatory Surgical Clinic/Center	$2.1M	$252.9K
Jeremy Aikey	PA	Ophthalmology Physician	$2.3M	$0

Ralph Cincinnati — Billing Profile & Reimbursement Data

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Ralph Cincinnati — 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