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

Why is the Medicaid comparison limited to Louisiana 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. Louisiana (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 Falba (NPI 1275591323)

Field	Value
Entity Type	Individual
Organization	Michael Falba
Address	3434 Prytania St
City	New Orleans
State	LA
ZIP	70115
Taxonomy	Medical Physician Assistant
NPI Enumerated	May 1, 2006

Payer Source	Total Paid
Medicare	$2.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
55866	The provider removes the prostate gland through a minimally invasive laparoscopic approach behind the pubic bone. The surgery is radical, meaning the entire prostate is removed, often to treat…	10	$120	$1.4K
38571	The provider makes small incisions and inserts a camera into the abdomen to view the lymph nodes. He excises all lymph nodes on both sides of the pelvis. This procedure is done to remove any diseased…	10	$40	$420
51990	In this procedure, the provider surgically suspends the urethra by placing several sutures and stitching with the urethra to surrounding tissue. He performs this procedure with a laparoscope, a thin…	10	$40	$400

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Louisiana Distribution

Michael Falba — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Louisiana

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
55866	6	10	20	$700	$11.9K
38571	6	10	20	$230	$3.7K
51990	2	10	10	$190	$2.6K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Crescent City Physicians, Inc.	LA	Family Medicine Physician	$0	$12.9M
Jose Silva	LA	Interventional Cardiology Physician	$982.6K	$120
Charles Schlosser	MS	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$231.1K	$0
Bashar Ababneh	KS	Interventional Cardiology Physician	$206.7K	$0
Patrick Walker	LA	Internal Medicine Physician	$185.9K	$0
Nassir Marrouche	LA	Clinical Cardiac Electrophysiology Physician	$112.3K	$0
John Shallcross	AL	Gastroenterology Physician	$111K	$0
Brett Hymel	LA	Gastroenterology Physician	$110.3K	$0
Frank Wilklow	LA	Cardiovascular Disease Physician	$105.6K	$0
Ellen Zakris	LA	Radiation Oncology Physician	$102.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Association For Retarded Citizens	LA	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$24.3M
Touro Infirmary	LA	General Acute Care Hospital	$0	$20.6M
Belle Chasse Emergency Group LLC	LA	Emergency Medicine Physician	$0	$19.9M
Foucher Emergency Group LLC	LA	Emergency Medicine Physician	$0	$15M
Preferred Caregivers & Sitters	LA	Home Health Agency	$0	$10.1M
Association For Retarded Citizens	LA	Developmentally Disabled Services Day Training Agency	$0	$8.3M
Preferred Caregivers And Sitters, LLC	LA	Home Health Agency	$0	$6.4M
Strive Inc	LA	Home Health Agency	$0	$4.6M
New Orleans La Uptown West Bank Endoscopy Asc LLC	LA	Ambulatory Surgical Clinic/Center	$243.7K	$511.1K
Christopher Whipple	LA	Family Medicine Physician	$404.1K	$135.5K

Michael Falba — Billing Profile & Reimbursement Data

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Michael Falba — 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