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

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

Joseph Raphael Ablaza (NPI 1366892291)

Field	Value
Entity Type	Individual
Organization	Joseph Raphael Ablaza
Address	640 S State St
City	Dover
State	DE
ZIP	19901
Taxonomy	Internal Medicine Physician
NPI Enumerated	June 22, 2016

Payer Source	Total Paid
Medicare	$60.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	180	$140	$23.8K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	230	$100	$23.7K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	40	$90	$3.7K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	50	$60	$3K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	30	$90	$2.3K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	20	$60	$1.5K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	40	$40	$1.5K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	20	$30	$750

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Delaware Distribution

Joseph Raphael Ablaza — 1 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	361	500	80	$90	$15.4K
99232	513	730	120	$60	$14.2K
99223	48	500	50	$130	$10.4K
99239	206	260	70	$90	$7.4K
99222	13	600	40	$100	$5.6K
99231	196	340	50	$40	$2.9K
99221	73	160	20	$60	$2.3K
99282	1	10	20	$30	$520

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Christiana Care Health Services Inc	DE	Hospitalist Physician	$0	$13.6M
Apogee Medical Group, Delaware, Inc	DE	Internal Medicine Physician	$0	$7.9M
Abbas Omais	MD	Pulmonary Disease Physician	$454.3K	$9K
Angad Singh	PA	Internal Medicine Physician	$416K	$0
Edris Meda	DC	Internal Medicine Physician	$225.8K	$0
Alvaro Toledo Rivera	PA	Internal Medicine Physician	$201.4K	$0
Curtis Smith	DE	Family Medicine Physician	$188K	$0
Sambhab Kumar	DE	Internal Medicine Physician	$170.3K	$830
John Basarich	WI	Family Medicine Physician	$159K	$0
Naveed Hasan	DE	Pulmonary Disease Physician	$153.6K	$0

Joseph Raphael Ablaza — 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

Frequently Asked Questions

References