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

Why is the Medicaid comparison limited to New York 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. New York (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.

Daniel Adler (NPI 1407952104)

Field	Value
Entity Type	Individual
Organization	Daniel Adler
Address	425 E 61st St
City	New York
State	NY
ZIP	10021
Taxonomy	Gastroenterology Physician
NPI Enumerated	September 16, 2006

Payer Source	Total Paid
Medicare	$75.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

10 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	$110	$21.7K
45378	The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…	60	$170	$9.7K
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	40	$220	$9.3K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	80	$100	$8.1K
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…	100	$80	$7.3K
99204	The provider sees a new 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 provider…	40	$150	$6K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	40	$150	$5.5K
46930	The provider destroys internal hemorrhoids by thermal techniques such as infrared coagulation, cauterization, or radiofrequency.	30	$180	$4.6K
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…	30	$90	$2.9K
G2012	Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an…	40	$10	$420

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New York Distribution

Daniel Adler — 0 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. state median

10 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
45385	497	1,100	40	$320	$19.4K
99214	8,829	30,450	90	$100	$19K
45380	636	1,220	40	$230	$15K
43239	378	1,290	50	$180	$14.2K
99213	13,991	31,440	80	$70	$12.1K
45378	98	690	20	$230	$8.3K
46930	4	10	20	$180	$6.9K
99204	5,414	14,170	30	$130	$6.6K
99203	5,799	11,360	30	$90	$4.7K
G2012	44	70	40	$10	$860

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
James George	NY	Gastroenterology Physician	$405.6K	$0
Hung-wei Lee	FL	Anatomic Pathology & Clinical Pathology Physician	$396.7K	$0
Ronaldo Zamuco	NY	Anatomic Pathology Physician	$352.7K	$820
Wei Sun	NY	Anatomic Pathology Physician	$137.6K	$1.6K
Barry Jaffin	NY	Gastroenterology Physician	$126.2K	$0
Eric Goldstein	NY	Gastroenterology Physician	$92.1K	$0

Daniel Adler — Billing Profile & Reimbursement Data

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Daniel Adler — 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