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

Why is the Medicaid comparison limited to Maine 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. Maine (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.

Daniel Loiselle (NPI 1316906589)

Field	Value
Entity Type	Individual
Organization	Daniel Loiselle
Address	84 Marginal Way
City	Portland
State	ME
ZIP	04101
Taxonomy	Internal Medicine Physician
NPI Enumerated	March 17, 2006

Payer Source	Total Paid
Medicare	$300.5K
Medicaid	$0

Key Findings

This provider’s billing is effectively single-payer: lifetime Medicare revenue is $300.5K while Medicaid shows none below, so there is no Medicaid billing on file. Analysts should treat this profile as Medicare-dominant when modeling payer mix, network penetration, or downstream referral patterns.

Revenue is highly concentrated in vaccination and vaccine-administration codes: the precomputed top three Medicare codes account for 72.5% of total Medicare revenue, driven by 91320 ($105.7K, 826 claims, $128 avg paid/claim; 35.4% of Medicare revenue), 90662 ($72.7K, 1K claims, $72 avg paid/claim; 24.4%), and 90480 ($38K, 951 claims, $40 avg paid/claim; 12.7%). This mix indicates the practice’s Medicare revenue depends primarily on COVID and influenza vaccine products and their administration.

Operationally the code mix points to a preventive/immunization-oriented workflow rather than a high-volume evaluation-and-management clinic: E/M codes 99213 (124 claims, $5.1K revenue, $41 avg paid/claim; 1.7% of Medicare revenue) and 99214 (88 claims, $4.1K revenue, $47 avg paid/claim; 1.4%) together contribute only a small share of revenue. Annual wellness and screening codes such as G0439 (116 claims, $3.7K, $32 avg paid/claim; 1.2%) and G0438 (27 claims, $1.5K, $55 avg paid/claim; 0.5%) are present but not dominant, reinforcing a service model centered on immunizations and brief preventive visits.

Competitive standing on vaccine lines is nationally strong by rank but described as within expected volumes: 91320 ranks #107 of 27083 providers nationally (100th percentile; typical, unremarkable volume for this code), 90662 ranks #34 of 70752 (100th percentile; typical, unremarkable volume for this code), and 90480 ranks #156 of 46950 (100th percentile; typical, unremarkable volume for this code). G0008 (1.1K claims, $31.9K, $30 avg paid/claim; 10.7%) also ranks #150 of 119096 (100th percentile; typical, unremarkable volume for this code), so the provider is a visible national contributor on vaccine administration lines while remaining within the platform’s “typical” volume banding.

The practice provides some in-office diagnostics and basic labs, but these are minor revenue contributors relative to vaccines: 36415 (418 claims, $3.3K, $8 avg paid/claim; 1.1%) ranks #11974 of 86467 (86th percentile; typical, unremarkable volume for this code), 80053 (239 claims, $2.4K, $10 avg paid/claim; 0.8%) ranks #7802 of 26416 (70th percentile; typical, unremarkable volume for this code), and 83036 (120 claims, $1.1K, $9 avg paid/claim; 0.4%) ranks #10169 of 44997 (77th percentile; typical, unremarkable volume for this code). These lines likely support routine preventive visits and vaccine encounters but do not materially diversify revenue.

Tenure is long: the NPI was enumerated 2006-03-17 (~20 years ago), which implies a stable Medicare billing history and gives context for interpreting cumulative vaccine volumes and rank positions relative to peers over time. Long enumeration supports benchmarking against established regional providers rather than newly practicing clinicians.

From a risk and planning perspective, the provider’s dependence on immunization codes (top three = 72.5% of Medicare revenue) combined with no Medicaid billing suggests seasonal and payer-concentrated revenue exposure; payers and provider analysts should flag this profile for sensitivity to vaccination seasonality and changes in vaccine reimbursement policy, while noting the national-rank descriptors label the provider’s volumes as typical rather than exceptional.

Medicare: Complete Services Breakdown

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

31 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
91320	This code represents a SARS–CoV–2 vaccine product (tris–sucrose formulation) administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 30 mcg/0.3 mL.	830	$130	$105.7K
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…	1,010	$70	$72.7K
90480	The provider administers the first or only component of a SARS–CoV–2 (COVID–19) vaccine by intramuscular injection to reduce the patient's risk of contracting COVID–19.	950	$40	$38K
G0008	Administration of influenza virus vaccine	1,060	$30	$31.9K
91322	This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 50 mcg/0.5 mL.	130	$130	$15.9K
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…	120	$40	$5.1K
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…	90	$50	$4.1K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	120	$30	$3.7K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	420	$10	$3.3K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	240	$10	$2.4K

Showing 1–10 of 31

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 31 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maine Distribution

Daniel Loiselle — 5 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. state median

31 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
91320	2	80	40	$130	$15K
91322	34	140	60	$140	$13.3K
77067	115	140	80	$40	$8.2K
83970	10	10	20	$40	$7.6K
99214	1,071	2,500	70	$70	$7.2K
77063	114	140	70	$30	$5.3K
90662	1	230	30	$70	$4.6K
G0439	88	650	50	$70	$4.3K
99213	466	2,350	50	$50	$4.3K
90480	1	200	60	$30	$3.9K

Showing 1–10 of 31

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Intermed, PA	ME	Internal Medicine Physician	$0	$821.2K
Kenneth Galeckas	ME	Dermatology Physician	$325.8K	$0
Caroline Wilmot	ME	Primary Care Nurse Practitioner	$174.8K	$0
Victoria Lazareth	ME	Adult Health Nurse Practitioner	$165.7K	$3.5K
Paul Mcgrath	ME	Cardiovascular Disease Physician	$97.6K	$0
James Zeitlin	ME	Internal Medicine Physician	$89.1K	$0
Robert Fraser	ME	Internal Medicine Physician	$87.3K	$0
Kathy Bush	ME	Dermatology Physician	$86.9K	$0
James Parker	ME	Cardiovascular Disease Physician	$78.5K	$0
Peter Emery	ME	Internal Medicine Physician	$75K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mainehealth	ME	Community/Behavioral Health Agency	$0	$115M
Goodwill Industries Of Northern New England	ME	Comprehensive Outpatient Rehabilitation Facility (CORF)	$0	$106M
Maine Vocational Associates, Inc.	ME	Developmentally Disabled Services Day Training Agency	$0	$34.3M
Catholic Charities Maine	ME	Clinical Social Worker	$0	$17.7M
Spurwink Services Incorporated	ME	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$16.8M
Milestone Recovery	ME	Substance Abuse Rehabilitation Facility	$0	$8.8M
Portland Community Health Center	ME	Federally Qualified Health Center (FQHC)	$0	$7.4M
Black Bear Medical, Inc.	ME	Customized Equipment (DME)	$0	$7.4M
Usa Family Well Being Services LLC	ME	Community/Behavioral Health Agency	$0	$6.3M
City Of Portland	ME	Land Ambulance	$740.2K	$5.4M

Daniel Loiselle — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References