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

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

Howard Kessler (NPI 1386706802)

Field	Value
Entity Type	Individual
Organization	Howard Kessler
Address	500 Us Route 1 Ste 26
City	Yarmouth
State	ME
ZIP	04096
Taxonomy	Clinical Neuropsychologist
NPI Enumerated	December 14, 2006

Payer Source	Total Paid
Medicare	$10.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
96133	The provider, a physician or other qualified healthcare professional, administers neuropsychological tests, face–to–face with the patient. Report this code in addition to the primary code (96132) for…	90	$80	$6.7K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	10	$140	$1.6K
96132	The provider, a physician or other qualified healthcare professional, spends up to one hour administering neuropsychological tests, which includes time spent face–to–face with the patient in…	10	$100	$1.3K
96136	The provider, a physician or other qualified healthcare professional, administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of…	10	$30	$400

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maine Distribution

Howard Kessler — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
96133	3	10	60	$70	$6K
90791	51	60	20	$90	$2.5K
96132	6	10	20	$90	$2.3K
96136	3	10	20	$30	$510

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brighter Heights Maine, LLC	ME	Community/Behavioral Health Agency	$0	$27.8M
Brighter Heights Maine, LLC	ME	Home Health Agency	$0	$4M
Dirigo Pediatric Dentistry	ME	Pediatric Dentistry	$0	$3.7M
Ankle And Foot Associates PC	ME	Foot & Ankle Surgery Podiatrist	$0	$953.5K
Town Of Yarmouth	ME	Land Ambulance	$99.2K	$70.6K
Christopher Pingitore	ME	Foot & Ankle Surgery Podiatrist	$130.1K	$0
Molly O'malley	ME	Family Medicine Physician	$58.4K	$0
Daniel Pierce	ME	Family Medicine Physician	$54.9K	$0
Nathaniel Anderson	ME	Gerontology Nurse Practitioner	$51.8K	$0
Anthony Bustamante	ME	Family Medicine Physician	$51.6K	$0

Howard Kessler — Billing Profile & Reimbursement Data

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Howard Kessler — 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