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

Why is the Medicaid comparison limited to Unspecified Location 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. Unspecified Location (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.

Gary Freedman, M.d. (NPI 1336210707)

Field	Value
Entity Type	Individual
Organization	Gary Freedman, M.d.
Address	Mitzpe Netofa
City	D.n. Lower Galilee
State	XX (Unspecified Location)
ZIP	15295
Taxonomy	Psychiatry Physician
NPI Enumerated	November 10, 2006

Payer Source	Total Paid
Medicare	$13K
Medicaid	$0

Key Findings

This provider is a Psychiatry Physician whose Medicare activity is dominated by established-patient evaluation-and-management visits: the top codes are 99214, 99215, and 99213, which correspond to moderate- to high-complexity office visits (99214 notes ~30 minutes or more, 99215 notes ~40 minutes or more, 99213 notes ~20 minutes or more). The code mix indicates an outpatient, office-based psychiatric practice focused on ongoing evaluation and management rather than procedure-driven care, with the largest volume on mid-level complexity visits.

Revenue concentration is extremely high among a very small set of services: the precomputed top 3 Medicare codes account for 100.0% of this provider's total Medicare revenue, and a single code, 99214, represents $11.1K of the $13K total Medicare revenue (85.9% of Medicare revenue) based on 198 reported claims. This concentration implies the provider’s Medicare revenue stream is heavily dependent on routine E/M office visits.

This provider’s overall payer mix is effectively single-payer from the available data: lifetime Medicare revenue is $13K while there is no Medicaid billing on file. The absence of Medicaid activity means any analysis of state-level Medicaid patterns or competitive standing in the Medicaid market is not applicable for this provider.

Competitive standing on the top codes is modest to minimal. For 99214 the provider ranks #153084 of 479517 nationally (68th percentile; typical, unremarkable volume for this code), indicating broadly typical national participation for that mid-level E/M code; by contrast 99215 is ranked #129827 of 145531 (8th percentile; typical, unremarkable volume for this code) and 99213 is ranked #435294 of 457151 (3th percentile; typical, unremarkable volume for this code), both of which reflect relatively low national volume positions for those codes.

Statistical labels attached to each reported code indicate no extreme outlier behavior: all three top codes are described as "typical, unremarkable volume for this code," which aligns with the percentile and rank information and suggests billing patterns fall within expected ranges rather than being anomalously high or low. There is no Medicare-coded behavior flagged by the data as notably above-typical or extreme.

The provider has a long-tenure NPI enumeration date (2006-11-10 (~20 years ago)), yet lifetime Medicare revenue is modest at $13K. This combination — long registration with limited Medicare revenue — can signal a small or low-intensity Medicare practice (for example part-time practice, small panel of Medicare patients, or focus on non-Medicare payers), though specific business model details are not present in the billing data.

Operational and payer risk is concentrated: heavy reliance on one Medicare code (99214) for 85.9% of Medicare revenue and having no Medicaid billing on file creates vulnerability to changes in coding patterns, payer mix, or Medicare reimbursement for E/M visits. From a payer or provider-operations perspective, the practice appears limited in scale and not diversified across service lines or payers, which constrains its competitive impact and bargaining position in the market.

Medicare: Complete Services Breakdown

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

3 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…	200	$60	$11.1K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	10	$100	$1.4K
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…	10	$30	$420

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes. Note: this provider's state, "XX," is a placeholder CMS uses when a provider's practice-location state wasn't reported — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

View: State1 / 2

Claims Volume vs. Unspecified Location Distribution

Gary Freedman, M.d. — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Unspecified Location

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	14	10	140	$60	$18.8K
99214	4	10	80	$90	$15.8K
99215	6	10	60	$110	$13.3K

Nearby Providers

Other providers in the same ZIP code as Gary Freedman, M.d., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Isac Bloch	—	Otolaryngology Physician	$5K	$0

Gary Freedman, M.d. — Billing Profile & Reimbursement Data

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Gary Freedman, M.d. — 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