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

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

Jeffrey Merlin (NPI 1174812085)

Field	Value
Entity Type	Individual
Organization	Jeffrey Merlin
Address	13111 N Port Washington Rd
City	Mequon
State	WI
ZIP	53097
Taxonomy	Emergency Medicine Physician
NPI Enumerated	March 31, 2011

Payer Source	Total Paid
Medicare	$37K
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
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	220	$100	$21.1K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	90	$140	$12.3K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	60	$60	$3.2K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	10	$30	$310

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. Wisconsin Distribution

Jeffrey Merlin — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	606	1,220	90	$130	$13.5K
99284	5	1,260	50	$80	$5.3K
99283	67	650	20	$50	$1.5K
99282	54	70	20	$30	$440

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
William Maloney	WI	Emergency Medicine Physician	$96.4K	$655.9K
Matthew Valente	MT	Emergency Medicine Physician	$34.8K	$289.5K
Manish Acharya	WI	Emergency Medicine Physician	$59.4K	$86.4K
Rosie Goodhue	WI	Emergency Medicine Physician	$72.7K	$0
Jane Reid	WI	Emergency Medicine Physician	$58.5K	$5.5K
Shea Jurgens	WI	Physician Assistant	$17.3K	$0
Carleen Freesmeier	WI	Physician Assistant	$3.2K	$900

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbia St Mary's Hospital Ozaukee, Inc.	WI	General Acute Care Hospital	$0	$2.1M
David Lucke	WI	Internal Medicine Physician	$146.7K	$0
John Sanidas	WI	Internal Medicine Physician	$140.9K	$0
Srihari Ramanujam	WI	Gastroenterology Physician	$82.7K	$0
Eugene Kligman	WI	Gastroenterology Physician	$64.6K	$0
Burak Gurses	WI	Pulmonary Disease Physician	$64.4K	$0
Christopher Kearns	WI	Urology Physician	$56.5K	$0
Jay Balachandran	WI	Pulmonary Disease Physician	$54.8K	$0
Kawaljeet Kaur	WI	Endocrinology, Diabetes & Metabolism Physician	$47.3K	$0
Brandan Carrell	WI	Physical Therapist	$46.1K	$0

Jeffrey Merlin — Billing Profile & Reimbursement Data

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Jeffrey Merlin — 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