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.

Andrea Kossler (NPI 1285884106)

Andrea Kossler is a ophthalmic plastic and reconstructive surgery physician provider located in Stanford, California. This profile covers 14 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Provider details (source: NPPES NPI Registry)

Medicare: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Andrea Kossler
Address	300 Pasteur Dr
City	Stanford
State	CA
ZIP	94305
Taxonomy	Ophthalmic Plastic and Reconstructive Surgery Physician
NPI Enumerated	September 28, 2008

Payer Source	Total Paid
Medicare	$63.6K
Medicaid	$0

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	160	$90	$14.4K
67911	During this procedure, the provider corrects the retraction of the eyelid, in which the eyelid is moving away from the surface of the eye.	20	$470	$9.8K
67950	Canthoplasty (median or lateral) is often referred to as a corner eye lift or eye tendon surgery. The ophthalmologist uses this technique to strengthen the lateral canthal tendon or orbicularis…	20	$380	$9K
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…	60	$120	$6.7K
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…	50	$120	$5.7K
67840	In this procedure, the provider excises a diseased or damaged area from the eyelid, excluding a chalazion, an inflamed oil gland. If necessary, he closes the wound with sutures.	30	$120	$3.9K
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…	60	$60	$3.1K
92083	The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…	120	$30	$3K
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…	10	$170	$2.3K
68840	This procedure is the probing of the lacrimal canaliculi with or without irrigation.	20	$150	$2.2K

Showing 1–10 of 14

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92014	2,664	2,890	110	$100	$28.7K
99214	15,439	37,970	120	$90	$23.2K
67950	26	40	30	$390	$19.9K
99215	6,929	15,360	50	$130	$14.4K
99213	21,002	34,660	80	$70	$13.2K
67840	27	100	20	$230	$7.3K
99205	6,953	8,360	30	$170	$7.2K
99204	7,601	19,360	40	$120	$7.2K
92083	673	1,960	70	$50	$7K
67911	1	10	20	$440	$7K

Andrea Kossler — Billing Profile & Reimbursement Data

Sign up for Andrea Kossler — Billing Profile & Reimbursement Data policy alerts

Andrea Kossler — Billing Profile & Reimbursement Data

Sign up for Andrea Kossler — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References