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.

Mary Ann Hopkins (NPI 1174598056)

Field	Value
Entity Type	Individual
Organization	Mary Ann Hopkins
Address	555 Madison Ave Frnt 3
City	New York
State	NY
ZIP	10022
Taxonomy	Surgery Physician
NPI Enumerated	February 22, 2006

Payer Source	Total Paid
Medicare	$85.6K
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
49650	The provider performs laparoscopic repair of an initial inguinal hernia.	80	$570	$46.4K
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…	190	$90	$17.9K
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…	220	$80	$16.6K
49591	The provider uses any approach to perform initial repair of one or more anterior abdominal hernias with a total length of less than 3 cm. The hernias are reducible, or able to be pushed back inside…	20	$210	$4.6K

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. New York Distribution

Mary Ann Hopkins — 2 of 4 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

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	6,914	31,440	80	$70	$12.1K
49650	2	120	20	$440	$10K
49591	2	10	10	$310	$4.9K
99203	382	11,360	30	$90	$4.7K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Young Kwon	NY	Orthopaedic Surgery Physician	$177.7K	$0
Claudette Lajam	NY	Orthopaedic Surgery Physician	$153.2K	$730
Frank Ross	NY	Surgery Physician	$46.6K	$12.9K
Steven Cohen	NY	Surgical Critical Care Physician	$34.6K	$0
Feza Remzi	NY	Colon & Rectal Surgery Physician	$1.7K	$0

Nearby Providers

Other providers in the same ZIP code as Mary Ann Hopkins, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
James Klancnik	NY	Specialist	$4.2M	$175.2K
K Freund	NY	Ophthalmology Physician	$3.6M	$675.9K
Ali Aboufares	NY	Interventional Cardiology Physician	$1.3M	$2.1M
Irene Barbazetto	NY	Ophthalmology Physician	$3.2M	$86.9K
Michael Engelbert	NY	Ophthalmology Physician	$2.6M	$27.1K
Michael Cooney	NY	Ophthalmology Physician	$2.1M	$75K
John Sorenson	NY	Ophthalmology Physician	$2M	$0
Richard Spaide	NY	Ophthalmology Physician	$1.9M	$320
Wayne Fuchs	NY	Ophthalmology Physician	$1.7M	$0
Jason Slakter	NY	Ophthalmology Physician	$1.2M	$0

Mary Ann Hopkins — Billing Profile & Reimbursement Data

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Mary Ann Hopkins — 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