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.

Gail Dubinsky (NPI 1336222553)

Field	Value
Entity Type	Individual
Organization	Gail Dubinsky
Address	6800 Palm Avenue
City	Sebastopol
State	CA
ZIP	95472
Taxonomy	Physical Medicine & Rehabilitation Physician
NPI Enumerated	October 23, 2006

Payer Source	Total Paid
Medicare	$39.5K
Medicaid	$0

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…	280	$100	$28.6K
98926	The provider performs controlled manual pressure in three to four body regions to treat somatic and nonsomatic disorders.	250	$40	$9.5K
99205	The provider sees a new 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 provider…	10	$120	$1.5K

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.

View: State1 / 2

Claims Volume vs. California Distribution

Gail Dubinsky — 0 of 3 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

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	10,095	37,970	120	$90	$23.2K
98926	8	70	50	$40	$7.5K
99205	7,248	8,360	30	$170	$7.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eric Kahle	CA	Ophthalmology Physician	$1.1M	$0
Sebastopol Asc, L.P.	CA	Ambulatory Surgical Clinic/Center	$701.4K	$0
James Erskine	CA	Neuromusculoskeletal Medicine & OMM Physician	$125.3K	$0
Sebastopol Family Pharmacy, Inc.	CA	Community/Retail Pharmacy	$34.2K	$0

Gail Dubinsky — Billing Profile & Reimbursement Data

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Gail Dubinsky — 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