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

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

Joel Palefsky (NPI 1336191345)

Field	Value
Entity Type	Individual
Organization	Joel Palefsky
Address	1600 Divisadero St
City	San Francisco
State	CA
ZIP	94115
Taxonomy	Infectious Disease Physician
NPI Enumerated	May 17, 2006

Payer Source	Total Paid
Medicare	$5.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
46607	In this procedure, the provider performs anoscopy, an examination of the anus using a small, tubular instrument called an anoscope. He uses high resolution magnification and chemical agent…	30	$100	$2.8K
46601	In this procedure, the provider performs a diagnostic anoscopy, an examination of the anus using a small, tubular instrument called an anoscope. She uses high resolution magnification and chemical…	30	$80	$2.3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. California Distribution

Joel Palefsky — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
46601	9	20	50	$80	$4.4K
46607	6	10	20	$100	$3.6K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of California San Francisco	CA	Internal Medicine Physician	$0	$49.3M
Rahul Khurana	CA	Ophthalmology Physician	$2.3M	$1.8M
Haig Tcheurekdjian	OH	Allergy & Immunology Physician	$2.9M	$0
Kent Adler	CA	Hematology & Oncology Physician	$1.3M	$0
Bradley Ekstrand	CA	Hematology & Oncology Physician	$1.3M	$0
Ostap Melnyk	CA	Hematology & Oncology Physician	$584.6K	$0
Gladys Rodriguez Araiza	IL	Hematology & Oncology Physician	$479.1K	$700
Michele Lee	AZ	Cornea and External Diseases Specialist Physician	$368.4K	$0
Joseph Sheehan	MT	Ophthalmology Physician	$342.1K	$0
Allyson Tevrizian	CA	Allergy & Immunology Physician	$340.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Allied Medical Service Of Calif Inc	CA	Ambulance	$1.9M	$15.5M
Ucsf Dermatopathology Service	CA	Dermatopathology Physician	$5.4M	$1.2M
Presidio Surgery Center, LLC	CA	Ambulatory Surgical Clinic/Center	$2.3M	$0
Ari Baron	CA	Specialist	$1.2M	$0
Jason Bailey	CA	Diagnostic Radiology Physician	$848.4K	$20
Scott So	CA	Ophthalmology Physician	$472.3K	$0
Anita Demas	CA	Internal Medicine Physician	$468.2K	$0
James Greenberg	CA	Internal Medicine Physician	$465.2K	$980
Inessa Svidler	CA	Internal Medicine Physician	$283.9K	$26.8K
Bruce Brent	CA	Cardiovascular Disease Physician	$298.6K	$0

Joel Palefsky — Billing Profile & Reimbursement Data

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Joel Palefsky — 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