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 Armed Forces Europe for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Armed Forces Europe 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. Armed Forces Europe (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.

Ricky Varone (NPI 1295706398)

Field	Value
Entity Type	Individual
Organization	Ricky Varone
Address	Psc 836
City	Fpo
State	AE (Armed Forces Europe)
ZIP	09636
Taxonomy	Medical Physician Assistant
NPI Enumerated	January 28, 2006

Payer Source	Total Paid
Medicare	$4K
Medicaid	$0

Key Findings

This provider’s Medicare activity is very small in absolute terms: lifetime Medicare revenue is $4K, with no Medicaid billing on file, so Medicare accounts for essentially all publicly reported revenue. The absence of any Medicaid claims means the provider operates as an effectively single-payer (Medicare) biller in the available dataset.

Revenue concentration is extreme within the Medicare portfolio: the precomputed top-3 Medicare codes account for 100.0% of this provider’s total Medicare revenue. Two codes dominate entirely: 99204 represents $2.2K (55.3% of Medicare revenue) and 99214 represents $1.8K (44.7% of Medicare revenue), leaving no recorded revenue from other Medicare codes.

The top-billing codes indicate an ambulatory, evaluation-and-management service profile rather than procedure-driven care. Both 99204 and 99214 are office/outpatient E/M visits involving moderate medical decision making and extended total time ($89 avg paid/claim for 99204 and $58 avg paid/claim for 99214), which is consistent with a Medical Physician Assistant delivering office-based primary or urgent care. There are no high-revenue procedural or diagnostic codes in the reported top codes.

Claim counts are modest: 25 claims for 99204 and 31 claims for 99214, reinforcing that this provider’s Medicare caseload is low-volume overall even though both codes compose 100.0% of revenue. The small number of claims and the $4K lifetime Medicare revenue suggest this provider is not a high-throughput billing entity within Medicare.

Competitive standing vs. national peers is modest. 99204 ranks #136590 of 227068 providers nationally (38th percentile) and 99214 ranks #391541 of 479517 providers nationally (18th percentile); both labels provided in the source characterize these volumes as “typical, unremarkable,” so the provider does not appear to be a dominant or outlier participant for its top codes.

Tenure is long: the NPI was enumerated on 2006-01-28 (~20 years ago), indicating the provider has been eligible to bill Medicare for an extended period despite the low lifetime revenue recorded in the dataset. This tenure suggests the low billing level is not due to recent entry into the Medicare program.

Operationally, the mix of a new-patient E/M code (99204) and an established-patient E/M code (99214) in nearly equal revenue share implies a balanced mix of new and returning outpatient visits in the provider’s panel. This pattern is consistent with a generalist ambulatory role where visits, rather than procedures, produce revenue.

From a payer-mix and risk perspective, the complete absence of Medicaid claims on file means this provider lacks diversification across public payers in the observed data. For analysts evaluating network coverage or access, this is effectively a Medicare-only footprint in the claims available, which may limit usefulness for Medicaid-focused networks or analyses.

Medicare: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	30	$90	$2.2K
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…	30	$60	$1.8K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes. Note: this provider's state, "AE," is a US military postal designation for Armed Forces stationed in Europe, the Middle East, Africa, or Canada — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

View: State1 / 2

Claims Volume vs. Armed Forces Europe Distribution

Ricky Varone — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Armed Forces Europe

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	17	20	70	$90	$15.4K
99204	7	10	30	$110	$5.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Charles Frosolone	AE (Armed Forces Europe)	Surgery Physician	$64.9K	$0
Joshua Nassiri	AE (Armed Forces Europe)	Diagnostic Radiology Physician	$32.3K	$0
Anthony Biascan	AE (Armed Forces Europe)	Occupational Medicine Physician	$30.2K	$0
Justin Denny	AE (Armed Forces Europe)	Emergency Medicine Physician	$6.8K	$0
Stephanie Wallace	AE (Armed Forces Europe)	Certified Registered Nurse Anesthetist	$5.7K	$0

Ricky Varone — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References