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

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

John Klimkiewicz (NPI 1346249505)

Field	Value
Entity Type	Individual
Organization	John Klimkiewicz
Address	District Orthopaedics, PC
City	Chevy Chase
State	MD
ZIP	20815
Taxonomy	Sports Medicine (Orthopaedic Surgery) Physician
NPI Enumerated	July 20, 2005

Payer Source	Total Paid
Medicare	$293.7K
Medicaid	$0

Key Findings

This provider's billed Medicare revenue totals $293.7K while Medicaid revenue is listed as none (no Medicaid billing on file), making the practice effectively single-payer (Medicare) in this dataset; the top 3 Medicare codes account for 74.5% of total Medicare revenue, indicating a concentrated revenue base.

The mix of top codes — 99213 (office established visit), J7326 (hyaluronan intra‑articular injection), and 27447 (knee replacement) — points to a combined outpatient management and procedural orthopaedic practice: frequent office visits and injections paired with a meaningful share of definitive surgical care consistent with a Sports Medicine (Orthopaedic Surgery) Physician.

Revenue concentration is high: 99213 generates $99.8K (33.9% of Medicare revenue), J7326 generates $66K (22.4%), and 27447 generates $53.6K (18.2%); together these three codes make up the precomputed 74.5% share, signaling that a small set of services drives most Medicare dollars for this NPI.

Competitive standing varies by service line: the provider is an extreme national outlier on 99213 (rank #3073 of 457151, 99th percentile; extreme outlier) and notably above typical national volume on J7326 (rank #75 of 1610, 95th percentile; notably above typical), while 27447 sits at a more typical national volume (rank #3619 of 12089, 69th percentile; typical, unremarkable).

Procedure-level patterns reinforce an injection- and imaging-heavy outpatient workflow: 20610 appears with 628 claims and $38.9K revenue (13.2% of Medicare revenue) and ranks #664 of 39752 (98th percentile; notably above typical), and knee X‑ray 73562 shows 352 claims and $13K revenue (4.4%) with rank #748 of 26819 (97th percentile; notably above typical).

The provider's NPI was enumerated on 2005-07-20 (~21 years ago), indicating long tenure in the Medicare program; this duration supports the plausibility of an established referral pattern and practice footprint that could explain sustained volume in office E/M, injections, and selective procedures.

Absence of any Medicaid billing on file (none below) means this provider's competitive and contracting profile is evaluated entirely against Medicare benchmarks here; analysts should treat Medicaid network exposure as effectively zero in this data and consider that payer mix, patient demographics, or enrollment choices are driving the single‑payer appearance.

Medicare: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	1,330	$80	$99.8K
J7326	Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	160	$410	$66K
27447	In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…	50	$1,140	$53.6K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	630	$60	$38.9K
73562	In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.	350	$40	$13K
99203	The provider sees a new 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 provider…	120	$90	$11.1K
73030	This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.	120	$30	$3.6K
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…	20	$100	$2K
29826	The provider examines the tissue inside the shoulder joint with an arthroscope. He inserts additional instruments and repairs the shoulder blade and coracoacromial ligament to alleviate shoulder…	10	$150	$1.7K
73560	In this procedure, the provider takes one or two X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.	40	$30	$1.3K

Showing 1–10 of 15

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maryland Distribution

John Klimkiewicz — 2 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. state median

15 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27447	5	270	30	$1,500	$72K
J7326	1	60	40	$410	$24.4K
99214	1,261	10,270	150	$90	$24.1K
99213	10	9,280	100	$60	$12.5K
20610	1	840	70	$50	$7.6K
99203	32	3,630	40	$80	$5K
73502	42	720	50	$20	$2.6K
29826	3	50	20	$110	$2.6K
73562	2	590	60	$20	$2.5K
73560	23	460	40	$20	$2.2K

Showing 1–10 of 15

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Daniel Berinstein	MD	Retina Specialist (Ophthalmology) Physician	$4.3M	$0
Michael Lai	MD	Retina Specialist (Ophthalmology) Physician	$4.2M	$0
Gayatri Reilly	MD	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
Frederick Smith	MD	Medical Oncology Physician	$2.7M	$0
Richard Garfinkel	MD	Retina Specialist (Ophthalmology) Physician	$2.4M	$0
John Schreiber	MD	Diagnostic Radiology Physician	$2.3M	$0
Friendship Ambulatory Surgery Center, LLC	MD	Ambulatory Surgical Clinic/Center	$2.2M	$0
David Weng	MD	Medical Oncology Physician	$1.5M	$0
Hyland Cronin	MD	Dermatology Physician	$1.5M	$0
David Wolfe	MD	Rheumatology Physician	$1.4M	$0

John Klimkiewicz — 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