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.

Charles Ma (NPI 1174979611)

Field	Value
Entity Type	Individual
Organization	Charles Ma
Address	249 Danbury Rd
City	Wilton
State	CT
ZIP	06897
Taxonomy	Endocrinology, Diabetes & Metabolism Physician
NPI Enumerated	May 13, 2016

Payer Source	Total Paid
Medicare	$130K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0897	Injection, denosumab, 1 mg	4,020	$20	$76.5K
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…	420	$90	$37.9K
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…	100	$120	$12.5K
95250	In this procedure, interstitial glucose levels are measured at regular intervals via subcutaneously implanted sensors provided by physician or other qualified health care professional's office for a…	20	$120	$2.2K
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	100	$10	$900
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	70	$10	$710
82962	Blood glucose monitoring at home with small electronic devices is an easy method to check blood sugar level on a daily basis. The patient himself can perform the procedure and the result is obtained…	200	$1	$610

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Connecticut Distribution

Charles Ma — 1 of 7 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

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0897	28	100	2,700	$20	$66.4K
99214	543	6,480	90	$90	$14.2K
99204	128	2,660	30	$120	$4.6K
95250	7	10	20	$120	$3K
96372	104	270	60	$10	$1K
83036	89	700	40	$10	$580
82962	15	120	60	$1	$310

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Danbury Hospital	CT	General Acute Care Hospital	$0	$123.8M
Crystal Run Healthcare Physicians LLP	NY	General Practice Physician	$0	$34.1M
Nuvance Health Medical Practice Ct, Inc.	CT	Internal Medicine Physician	$0	$20.2M
Danbury Hospital	CT	General Acute Care Hospital	$0	$15.3M
Granit Veseli	CT	Clinical Cardiac Electrophysiology Physician	$567.3K	$10
Michael Spiegel	CT	Rheumatology Physician	$488.7K	$0
Sydney Page	CT	Medical Physician Assistant	$398.3K	$0
Behzad Habibi Khameneh	CT	Neurology Physician	$394.4K	$0
Donald Sonn	MA	Urology Physician	$367.6K	$0
Gillian Levy	CT	Anatomic Pathology & Clinical Pathology Physician	$361.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Connec-totalk,llc	CT	Speech-Language Pathologist	$0	$6.1M
Wilton Surgery Center LLC	CT	Ambulatory Surgical Clinic/Center	$1.8M	$405.1K
Kristina Bikoulova	CT	Family Nurse Practitioner	$1.9M	$0
Wilton Volunteer Ambulance Corps Inc	CT	Land Ambulance	$245.4K	$131K
Tracey Velo	CT	Family Nurse Practitioner	$330.5K	$0
Mark Fletcher	CT	Orthopaedic Surgery Physician	$268.8K	$0
Connecticut Cvs Pharmacy, L.L.C.	CT	Pharmacy	$184.7K	$0
Jeffrey Deluca	CT	Orthopaedic Surgery Physician	$182.8K	$0
Southwest Connecticut Surgery Center, LLC	CT	Ambulatory Surgical Clinic/Center	$154.8K	$0
Robert Brady	CT	Orthopaedic Surgery Physician	$153.8K	$0

Charles Ma — Billing Profile & Reimbursement Data

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Charles Ma — 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