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

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

Nicholas Retson (NPI 1417020504)

Nicholas Retson is a plastic surgery physician provider located in Merrillville, Indiana. This profile covers 13 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Provider details (source: NPPES NPI Registry)

Medicare: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Nicholas Retson
Address	8053 Cleveland Pl
City	Merrillville
State	IN
ZIP	46410
Taxonomy	Plastic Surgery Physician
NPI Enumerated	November 16, 2006

Payer Source	Total Paid
Medicare	$71.2K
Medicaid	$0

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

13 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…	470	$60	$25.6K
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…	110	$80	$8.4K
14060	The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10 cm2 or less.	20	$450	$8.1K
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…	100	$60	$6.3K
14020	The provider repairs the defects in the patient’s scalp, arms, and/or legs by using healthy tissues from an adjacent site. This code represents services for defects of 10 cm2 or less.	20	$380	$6.1K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	150	$40	$5.2K
11644	The provider excises a cancerous (malignant) lesion, including margins, of 3.1 to 4.0 cm in diameter, from the skin of the face, ears, eyelids, nose, lips.	20	$180	$3.5K
11604	The provider excises a cancerous (malignant) lesion, including margins, of 3.1 to 4.0 cm in diameter, from the skin of the trunk, arms, or legs.	30	$90	$2.5K
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…	20	$100	$2K
11443	The provider excises a benign (noncancerous) lesion including margins from the face, ears, eyelids, nose, lips, or mucous membrane that is 2.1 to 3.0 cm in diameter or less and also performs a simple…	20	$90	$1.8K

Showing 1–10 of 13

Nicholas Retson — Billing Profile & Reimbursement Data

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Nicholas Retson — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
14020	5	10	30	$470	$17.1K
14060	34	50	20	$510	$15.9K
99214	5,409	10,540	110	$80	$15.5K
99213	605	10,820	80	$50	$7.6K
99204	3,200	4,690	30	$100	$4.9K
11604	4	20	20	$140	$3.9K
11644	2	10	30	$130	$3.6K
99203	405	3,490	30	$70	$3.1K
99212	191	2,360	30	$30	$2.1K
11403	9	20	20	$80	$2K