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

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

John Fischer (NPI 1285869784)

Field	Value
Entity Type	Individual
Organization	John Fischer
Address	51 N 39th St
City	Philadelphia
State	PA
ZIP	19104
Taxonomy	Plastic Surgery Physician
NPI Enumerated	May 28, 2009

Payer Source	Total Paid
Medicare	$105.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
15734	The provider develops a muscle, myocutaneous, or fasciocutaneous flap obtained from the trunk (the area between the neck and the waist) and places it over a defect on the patient's body.	50	$890	$40.9K
14302	At the same session that the provider repairs lesions of 30.1 cm2 to 60.0 cm2, with the healthy tissues from an adjacent site, he extends the repair up to an additional 30.0 cm2. The repair may be in…	130	$180	$22.8K
14301	The provider replaces the lesions in any area with the healthy tissues from an adjacent site. This code represents a defect of 30.1 cm2 to 60.0 cm2.	20	$660	$14.5K
15834	This code is used for removal of excessive skin and subcutaneous tissue of the hip.	20	$720	$10.8K
99205	The provider sees a new 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 provider…	50	$150	$7.3K
15830	This procedure is the excision of excess skin and subcutaneous tissue of the abdomen.	10	$450	$5.8K
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…	20	$100	$1.8K
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…	10	$110	$1.5K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Pennsylvania Distribution

John Fischer — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
15734	4	20	30	$890	$31.3K
14301	14	40	20	$780	$17.3K
14302	3	10	70	$160	$12.8K
15834	1	10	20	$720	$10.8K
99215	6,560	7,170	40	$120	$8.6K
15830	1	10	10	$450	$5.9K
99204	7,634	10,290	30	$110	$5K
99205	521	3,090	20	$150	$4.9K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Main Line Emergency Med Associates LLC	PA	Emergency Medicine Physician	$0	$6.1M
Orlando Castillo	PA	Surgery Physician	$245.9K	$0
Steven Moonblatt	PA	Emergency Medical Services (Emergency Medicine) Physician	$205.8K	$0
Hoi Lee	PA	Emergency Medicine Physician	$186.4K	$0
Dorothy Wang	PA	Emergency Medicine Physician	$186.1K	$0
Sally Speck	PA	Emergency Medicine Physician	$180.8K	$0
Blair Hontz	PA	Emergency Medicine Physician	$179.9K	$0
Randy Grinspan	PA	Emergency Medicine Physician	$172.7K	$0
Mahesh Shrestha	PA	Emergency Medicine Physician	$171.8K	$0
Jason Kitchen	PA	Emergency Medicine Physician	$171K	$0

John Fischer — Billing Profile & Reimbursement Data

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John Fischer — 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

Frequently Asked Questions

References