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

Why is the Medicaid comparison limited to New Jersey 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. New Jersey (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.

Michael Sher (NPI 1336149707)

Field	Value
Entity Type	Individual
Organization	Michael Sher
Address	74 Brick Blvd
City	Brick
State	NJ
ZIP	08723
Taxonomy	Internal Medicine Physician
NPI Enumerated	July 28, 2005

Payer Source	Total Paid
Medicare	$166.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	960	$100	$96.7K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	160	$140	$21.7K
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…	170	$90	$15K
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…	150	$70	$10.5K
G0446	Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	150	$30	$4.2K
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	150	$30	$4K
G0444	Annual depression screening, 5 to 15 minutes	160	$20	$3.1K
G0442	Annual alcohol misuse screening, 5 to 15 minutes	160	$20	$3.1K
G0008	Administration of influenza virus vaccine	80	$30	$2.7K
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…	10	$130	$1.8K

Showing 1–10 of 13

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Jersey Distribution

Michael Sher — 2 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. state median

13 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	551	13,640	130	$90	$23.6K
99213	5,383	14,090	100	$70	$13.1K
G0439	673	3,370	70	$120	$11.5K
99204	6,176	7,160	40	$130	$6.5K
99497	139	1,060	40	$60	$5K
G0446	41	120	80	$30	$3.2K
G0008	1,438	4,290	50	$30	$3K
G0447	23	170	50	$30	$2.3K
G0442	77	320	70	$20	$2.1K
G0444	204	1,000	70	$20	$2.1K

Showing 1–10 of 13

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Association For The Multiple Impaired Blind, Inc.	NJ	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$73.8M
Affinity Care Of Nj LLC	NJ	Community Based Hospice Care Agency	$0	$11.9M
Ocean Monmouth Care, LLC	NJ	Methadone Clinic	$555.9K	$10.8M
Signature Behavioral Health LLC	NJ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.2M
The Arc Ocean County Chapter, Inc.	NJ	Developmentally Disabled Services Day Training Agency	$0	$7.9M
Jasper Ambulatory Surgical Center LLC	NJ	Ambulatory Surgical Clinic/Center	$2M	$0
Township Of Brick	NJ	Land Ambulance	$670.2K	$392.1K
Thomas Komorowski	NJ	Cardiovascular Disease Physician	$883.5K	$0
Leonard Sandler	NJ	Cardiovascular Disease Physician	$856.3K	$0
Diosdado Non Medical Services LLC	NJ	Anatomic Pathology Physician	$454.2K	$0

Michael Sher — Billing Profile & Reimbursement Data

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Michael Sher — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References