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

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

Michael Koontz (NPI 1245410588)

Field	Value
Entity Type	Individual
Organization	Michael Koontz
Address	5 Harris Ct Bldg T
City	Monterey
State	CA
ZIP	93940
Taxonomy	Internal Medicine Physician
NPI Enumerated	November 4, 2007

Payer Source	Total Paid
Medicare	$1.1M
Medicaid	$0

Medicare: Complete Services Breakdown

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

54 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J9271	Injection, pembrolizumab, 1 mg	11,800	$40	$507.4K
J0897	Injection, denosumab, 1 mg	9,540	$20	$171.7K
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…	1,390	$100	$140.2K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	410	$110	$46.6K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	240	$150	$35.6K
J9217	Leuprolide acetate (for depot suspension), 7.5 mg	230	$130	$30.1K
J1439	Injection, ferric carboxymaltose, 1 mg	21,000	$1	$21K
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…	250	$70	$18.3K
99491	The provider, a physician or other healthcare professional, personally directs the evaluation and management of a patient with two or more chronic A physician or other qualified healthcare…	200	$70	$13.7K
Q5106	Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units	1,870	$10	$11.2K

Showing 1–10 of 54

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 54 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. California Distribution

Michael Koontz — 2 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

54 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	78	140	13,100	$40	$653.5K
J0897	134	1,030	3,060	$20	$91.4K
J0881	78	80	19,020	$1	$80.6K
J3490	196	320	80	$190	$49.2K
J1439	74	110	29,230	$1	$42.6K
84443	557	620	120	$20	$39.4K
80053	428	950	110	$10	$30.1K
96413	87	620	170	$120	$26.9K
99233	6,676	11,530	120	$100	$26.2K
Q5106	49	70	3,230	$10	$23.7K

Showing 1–10 of 54

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
James Joye	CA	Interventional Cardiology Physician	$4.5M	$0
David Greene	CA	Radiation Oncology Physician	$2.3M	$119.1K
Katrina Fischer	CA	Hematology & Oncology Physician	$2.1M	$0
Nancy Rubin	CA	Hematology & Oncology Physician	$2M	$0
Thaila Ramanujam	CA	Specialist	$1.9M	$0
Kevin Chen	CA	Retina Specialist (Ophthalmology) Physician	$1.8M	$0
Reza Iranmanesh	CA	Ophthalmology Physician	$1.7M	$0
Ajanta De	CA	Interventional Cardiology Physician	$1.5M	$0
Steven Kurtzman	TX	Radiation Oncology Physician	$1.5M	$0
Amir Tabatabai	CA	Hematology & Oncology Physician	$1.5M	$90

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Hospital Of The Monterey Peninsula	CA	General Acute Care Hospital	$0	$88.5M
Monterey Bay Endoscopy Center LLC	CA	Ambulatory Surgical Clinic/Center	$2.3M	$4.9M
Monterey Peninsula Surgery Center LLC	CA	Ambulatory Surgical Clinic/Center	$2.3M	$0
Monterey Peninsula Surgery Center LLC	CA	Ambulatory Surgical Clinic/Center	$2M	$11.3K
Braden Burckhard	CA	Retina Specialist (Ophthalmology) Physician	$1.8M	$0
Salar Deldar	CA	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$1.2M	$0
Lulu Zhang	CA	Hematology & Oncology Physician	$1.2M	$0
Nancy Tray	CA	Internal Medicine Physician	$1.1M	$0
Monterey Peninsula Surgery Center LLC	CA	Ambulatory Surgical Clinic/Center	$721.9K	$409K
Howard Oriba	CA	Dermatology Physician	$834.9K	$0

Michael Koontz — 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