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

Why is the Medicaid comparison limited to Connecticut 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. Connecticut (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 Malon (NPI 1306825609)

Field	Value
Entity Type	Individual
Organization	Andrea Malon
Address	540 Saybrook Rd Ste 100
City	Middletown
State	CT
ZIP	06457
Taxonomy	Surgical Oncology Physician
NPI Enumerated	January 13, 2006

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.

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	220	$70	$14.8K
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…	20	$140	$2.5K
38525	The provider surgically removes the lymph nodes in the deep axilla through an open incision. He may send them to the laboratory for analysis. The provider performs the procedure as an investigation…	10	$180	$2.5K
99203	The provider sees a new 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 provider…	10	$60	$670
G2212	Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary…	20	$30	$650
38792	The provider injects a contrast, or radioactive tracer into the target tissues and massages the tissue to move the dye into the lymphatic system. He performs this procedure to identify the sentinel…	10	$10	$170

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Connecticut Distribution

Andrea Malon — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	1,005	6,440	70	$60	$8.1K
99215	1,406	1,840	30	$130	$6.7K
99203	2,151	2,250	30	$80	$3.5K
38525	10	10	20	$200	$3.2K
G2212	50	80	30	$20	$1.9K
38792	4	10	20	$10	$230

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mhs Primary Care, Inc	CT	Family Medicine Physician	$0	$5.4M
Mhs Primary Care Inc	CT	Urgent Care Clinic/Center	$0	$1.2M
Paul Fortgang	CT	Otolaryngology Physician	$94.5K	$98.3K
Richard Frink	CT	Urology Physician	$138.7K	$0
Ronald Hirokawa	CT	Otolaryngology Physician	$86K	$41.3K
Howard Boey	CT	Otolaryngology Physician	$90.3K	$32.9K
Meredith Lindner	CT	Internal Medicine Physician	$123K	$0
Edward Myer	CT	Urology Physician	$112.9K	$0
Nazmiye Hatiboglu	CT	Family Medicine Physician	$107.2K	$0
Elin Christensen	CT	Internal Medicine Physician	$97.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Health Center Inc	CT	Federally Qualified Health Center (FQHC)	$0	$533.4M
Middlesex Hospital	CT	General Acute Care Hospital	$0	$116.1M
Rushford Center Inc	CT	Substance Abuse Rehabilitation Facility	$0	$23M
Pursuecare, LLC	CT	Addiction Medicine (Preventive Medicine) Physician	$0	$9.8M
Gilead Community Services, Inc.	CT	Adult Mental Health Clinic/Center	$0	$8.9M
Middlesex Hospital	CT	Family Nurse Practitioner	$0	$7.5M
City Of Middletown	CT	Local Education Agency (LEA)	$0	$4.2M
Surgi-care, Inc	CT	Prosthetic/Orthotic Supplier	$0	$4.2M
Unison Health Services, Inc.	CT	Home Health Agency	$0	$3.8M
Middlesex Hospital	CT	Land Ambulance	$1.4M	$2M

Andrea Malon — Billing Profile & Reimbursement Data

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Andrea Malon — 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