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.

Rachel Gold (NPI 1316231319)

Field	Value
Entity Type	Individual
Organization	Rachel Gold
Address	9622 Bustleton Ave
City	Philadelphia
State	PA
ZIP	19115
Taxonomy	Family Nurse Practitioner
NPI Enumerated	June 7, 2011

Payer Source	Total Paid
Medicare	$66.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99350	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…	720	$70	$50K
99496	The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…	80	$100	$8.2K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	90	$50	$4.5K
90662	This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…	30	$70	$2.2K
G0008	Administration of influenza virus vaccine	30	$30	$990
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	30	$20	$580
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	100	$1	$100

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Pennsylvania Distribution

Rachel Gold — 2 of 7 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

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99349	305	700	70	$90	$13.8K
99350	3	300	50	$120	$12.5K
99496	10	990	20	$180	$4.3K
90662	2,672	4,190	40	$70	$4.3K
99497	563	920	40	$60	$4K
G0008	4,519	6,670	50	$30	$2.4K
J3420	69	330	60	$1	$80

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Einstein Practice Plan Inc	PA	Emergency Medicine Physician	$0	$13.9M
Einstein Practice Plan, Inc	PA	Obstetrics & Gynecology Physician	$0	$11.4M
Einstein Practice Plan Inc	PA	Diagnostic Radiology Physician	$0	$9.6M
Einstein Practice Plan Inc	PA	Pediatrics Physician	$0	$8M
Amjad Safvi	IL	Vascular & Interventional Radiology Physician	$568.9K	$765.4K
Joel Wolf	PA	Vascular & Interventional Radiology Physician	$1.3M	$4.7K
Tracey Evans	PA	Hematology & Oncology Physician	$1.3M	$0
Shikha Rathi	PA	Rheumatology Physician	$687.3K	$0
NPI 1760480586	—	—	$627.5K	$0
Charles Ko	NJ	Diagnostic Radiology Physician	$575.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Healthcare Stat Home Care,inc.	PA	Home Health Agency	$0	$36.7M
Amazing Care Home Health Services, LLC	PA	Home Health Agency	$0	$35.4M
Red Lion Surgicenter, LLC	PA	Ambulatory Surgical Clinic/Center	$0	$10.1M
Pristine Home Care LLC	PA	Home Health Agency	$0	$10M
Prime Home Care, Inc	PA	In Home Supportive Care Agency	$0	$9.1M
Vsp Management Inc	PA	Durable Medical Equipment & Medical Supplies	$0	$8.2M
Independent Home Care Inc	PA	Home Health Agency	$0	$6M
Zoya Berenson	PA	Internal Medicine Physician	$146.7K	$1.2M
Independent Physicians Medical Center, LLC	PA	Diagnostic Radiology Physician	$703.2K	$383.3K
Harold Farber	PA	Dermatology Physician	$762.2K	$0

Rachel Gold — Billing Profile & Reimbursement Data

Sign up for Rachel Gold — Billing Profile & Reimbursement Data policy alerts

Rachel Gold — Billing Profile & Reimbursement Data

Sign up for Rachel Gold — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References