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 District of Columbia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to District of Columbia 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. District of Columbia (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.

Anthony Unger (NPI 1316052541)

Key Findings

Field	Value
Entity Type	Individual
Organization	Anthony Unger
Address	2021 K St Nw
City	Washington
State	DC
ZIP	20006
Taxonomy	Adult Reconstructive Orthopaedic Surgery Physician
NPI Enumerated	August 20, 2006

Payer Source	Total Paid
Medicare	$396.7K
Medicaid	$0

This provider is an adult reconstructive orthopaedic surgeon whose Medicare revenue is concentrated in major joint replacement and related office work: total Medicare revenue is $396.7K and the provider’s top 3 Medicare codes by revenue account for 55.4% of that total, reflecting a practice centered on arthroplasty and longitudinal outpatient management. The leading revenue drivers are 27130, 27447, and 99214, which together form the economic core of the billing profile.

The code mix indicates a surgical arthroplasty focus with substantial perioperative and nonoperative care support. High-revenue procedural codes 27130 (hip replacement) and 27447 (knee replacement) are supplemented by frequent evaluation-and-management visits (99214 and 99213), imaging (73502 and 73560), and intra-articular procedures (J7326 and 20610), consistent with a practice that performs joint replacement surgery while also managing pre- and post-operative outpatient care.

Revenue concentration is pronounced: the precomputed top-3 codes represent 55.4% of Medicare revenue, with 27130 contributing $98.7K (24.9%), 27447 contributing $63.4K (16.0%), and 99214 contributing $57.6K (14.5%). This concentration means shifts in arthroplasty referral patterns or reimbursement for these specific codes would disproportionately affect the provider’s Medicare income.

Competitive standing varies by procedure. For 27130 the provider ranks #373 of 8062 nationally (95th percentile) and is described as notably above typical national volume for this code, indicating a high-volume national-level performer for hip replacement; by contrast, 27447 ranks #2916 of 12089 (75th percentile) and is labeled typical, unremarkable volume, suggesting a more modest national footprint for knee arthroplasty.

Outpatient evaluation and imaging throughput is strong: 99214 appears with 543 claims and $57.6K revenue (14.5% of Medicare revenue) and is characterized as typical, unremarkable volume, while hip X-ray code 73502 also has 543 claims and $23.3K revenue (5.9%) but ranks #165 of 33225 (100th percentile) and is noted as notably above typical national volume. Together these data point to a busy clinic workflow that generates both E/M revenue and repeated imaging tied to hip and knee care.

Operationally, the provider reports substantial use of low-cost, high-count items and office procedures alongside major surgery. Examples include J0702 with 506 claims but only $2.5K revenue, 20610 with 385 claims and $21.9K revenue (95th percentile; typical, unremarkable volume), and J7326 with 90 claims and $36.5K revenue, indicating routine use of steroid and viscosupplementation injections and joint aspiration/injection as part of the care pathway. These patterns are consistent with an orthopaedic practice that mixes surgical caseload with high-volume office procedures.

Payer mix is effectively single-payer Medicare: the record shows $396.7K in total Medicare revenue and no Medicaid billing on file, so the provider’s publicly reported revenue exposure is concentrated in Medicare. This absence of Medicaid activity could affect negotiation leverage and network strategy where dual-payer coverage or Medicaid access is relevant to payers and health systems.

The provider has long tenure in the dataset, with an NPI enumerated on 2006-08-20 (~20 years ago), which supports an interpretation of an established practice likely built around arthroplasty referrals and sustained outpatient volume rather than a recent entrant or short-term practice variation.

Medicare: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
27130	In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…	90	$1,150	$98.7K
27447	In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…	60	$1,150	$63.4K
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…	540	$110	$57.6K
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…	520	$80	$39.1K
J7326	Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	90	$410	$36.5K
73502	In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other…	540	$40	$23.3K
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…	170	$140	$22.7K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	390	$60	$21.9K
73560	In this procedure, the provider takes one or two X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.	460	$30	$14.4K
73030	This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.	140	$30	$4.5K

Showing 1–10 of 19

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Capitol View Home Healthcare Agency	DC	Respite Care	$0	$26.2M
Amazing Grace Supports Inc	DC	In Home Supportive Care Agency	$0	$20.2M
Mba Non Profit Solutions, LLC	DC	Developmentally Disabled Services Day Training Agency	$0	$3.4M
Premier Support Services Inc	DC	Case Management Agency	$0	$2.9M
Hamid Saranjam	DC	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$1.8M
District Endodontics PLLC	DC	Endodontics	$0	$1.8M
Kerman Dental LLC	DC	General Practice Dentistry	$0	$1.4M
Lifetree Health, Inc	DC	Primary Care Clinic/Center	$0	$1.2M
Kaveh Zand	DC	Endodontics	$0	$1M
Limitless Possibilities, LLC.	DC	Mental Health Counselor	$0	$741.8K

Anthony Unger — Billing Profile & Reimbursement Data

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Anthony Unger — 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

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27130	1	10	30	$1,000	$38.8K
27447	4	20	40	$940	$35.6K
J7326	2	10	30	$400	$22.8K
99214	83	1,400	90	$100	$15.3K
99213	54	1,200	50	$70	$8.5K
99204	22	670	30	$130	$6.4K
20610	3	60	60	$60	$6.2K
99203	143	430	30	$80	$3.8K
73562	29	60	50	$20	$2K
J0702	2	10	120	$10	$1.7K