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.

Daniel Fain (NPI 1275085367)

Field	Value
Entity Type	Individual
Organization	Daniel Fain
Address	101 Hospital Rd
City	Patchogue
State	NY
ZIP	11772
Taxonomy	Physician Assistant
NPI Enumerated	October 25, 2016

Payer Source	Total Paid
Medicare	$21.3K
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
23472	In this procedure, the provider performs a total shoulder arthroplasty in which the provider replaces the damaged head of the humerus and the glenoid cavity with prosthetic implants. The provider…	60	$200	$11.5K
29827	The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and…	30	$150	$4.3K
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…	20	$100	$1.5K
23395	In this procedure, the provider transfers a muscle from another location of the patient’s body to the shoulder or upper arm. He performs this procedure to treat injuries that impair the upper…	20	$90	$1.5K
23430	In this procedure, the provider surgically cleans the long tendon of the biceps from its damaged fragment and fixes the tendon to the upper end of the humerus to improve the stability of the joint.…	20	$60	$1.3K
29826	The provider examines the tissue inside the shoulder joint with an arthroscope. He inserts additional instruments and repairs the shoulder blade and coracoacromial ligament to alleviate shoulder…	30	$20	$690
29823	The provider examines the tissue inside the shoulder joint with an arthroscope. He inserts additional instruments and excises extensive damaged tissues in the shoulder joint caused by trauma to the…	30	$20	$530

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. New York Distribution

Daniel Fain — 0 of 7 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

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
29827	16	110	20	$1,260	$27.7K
23472	10	110	20	$1,010	$27.3K
99214	28,878	30,450	90	$100	$19K
23430	9	30	20	$390	$9.8K
23395	3	10	20	$530	$9K
29823	7	70	20	$270	$5.2K
29826	8	90	20	$120	$2.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mark Decker	NY	Diagnostic Radiology Physician	$962K	$141.1K
Scott Alpert	NY	Orthopaedic Surgery Physician	$972.6K	$0
James Germano	NY	Orthopaedic Surgery Physician	$644K	$0
Eric Putterman	NY	Orthopaedic Surgery Physician	$627.5K	$0
Gregory Lieberman	NY	Sports Medicine (Orthopaedic Surgery) Physician	$570.5K	$0
Bradley Gerber	NY	Adult Reconstructive Orthopaedic Surgery Physician	$553.1K	$0
Steve Sharon	NY	Diagnostic Radiology Physician	$509.2K	$2.7K
Robert Lippe	NY	Orthopaedic Surgery Physician	$419.6K	$81.6K
Brian Mcginley	NY	Orthopaedic Surgery Physician	$499.4K	$0
John L'insalata	NY	Sports Medicine (Orthopaedic Surgery) Physician	$485.2K	$3.9K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sarene Services Inc	NY	Nursing Care Agency	$0	$63M
Long Island Community Hospital At Nyu Langone Health	NY	General Acute Care Hospital	$0	$27.6M
Great South Bay Endoscopy Center, LLC	NY	Ambulatory Surgical Clinic/Center	$912.1K	$3.5M
Christopher Adam	NY	Ophthalmology Physician	$3.1M	$219.4K
Aleksander Vayntraub	NY	Radiation Oncology Physician	$2.1M	$700
Shahid Nawaz	NY	Hematology & Oncology Physician	$2M	$85.7K
Ravi Pulipati	NY	Vascular Surgery Physician	$2M	$24.6K
Sanjeev Jain	NY	Hematology & Oncology Physician	$1.5M	$59.6K
Adeel Iqbal	NY	Internal Medicine Physician	$1.3M	$10.1K
Hitesh Narain	NY	Obstetrics & Gynecology Physician	$22.4K	$1M

Daniel Fain — 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